Dietitians can improve accuracy of prescribing by interacting with electronic prescribing systems
| Autor: | Tanya Pankhurst, Laurie Lucas, Susan De Waal, Simon Ball |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Time Factors
electronic patients records (epr) Health Informatics Health records Multidisciplinary team lcsh:Computer applications to medicine. Medical informatics Patient care improved accuracy 03 medical and health sciences 0302 clinical medicine Health Information Management New medications Renal Dialysis Electronic prescribing Medicine Electronic Health Records Humans Medication Errors 030212 general & internal medicine Nutritionists Original Research dietitians electronic prescribing business.industry 030503 health policy & services electronic health records(ehr) medicine.disease Computer Science Applications Dialysis unit medication inaccuracy lcsh:R858-859.7 Medical emergency 0305 other medical science business |
| Zdroj: | BMJ Health & Care Informatics, Vol 26, Iss 1 (2019) BMJ Health & Care Informatics |
| ISSN: | 2632-1009 |
| Popis: | BackgroundDietitians increasingly interact with electronic health records (EHRs) and use them to alert prescribers to medication inaccuracies.ObjectiveTo understand renal dietitians’ use of electronic prescribing systems and influence on medication accuracy in inpatients. In outpatients to determine whether renal dietitians’ use of the electronic medication recording might improve accuracy.MethodsIn inpatients we studied the impact of dietetic advice on medical prescribing before and after moving from paper recommendations to ePrescribing. In outpatients, when dietitians recommended changes in dialysis units, we assessed the time to patients receiving the new medications. We trained dietitians to use the ePrescribing system and assessed accuracy of medication lists at the start and end of the study period.ResultsInpatients: before the use of EHRs, 25% of proposals were carried out and took an average of 20 days. This rose to 38% using an EHR and took an average of 4 days.Outpatients: in dialysis units dietitians recommend initiating and stopping medications and advise on repeat medications. Most recommendations were during multidisciplinary team (MDT) meetings; the average time to receive medications was 10 days. Drug histories updated by dietitians increased after the start of the study and accuracy of medication lists improved from 2.4 discrepancies/patient to 0.4.ConclusionDietitians can make medication suggestions directly using EHR, delivering more timely change to patient care and improving accuracy of patients’ medication lists. Allowing the whole of the MDT to contribute to the EHR improves data completeness and therefore patient care is likely to be enhanced. |
| Databáze: | OpenAIRE |
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