Comparison of Electronic Pharmacy Prescription Records With Manually Collected Medication Histories in an Emergency Department - 20/08/13
Address for correspondence: Clement J. McDonald, MDRésumé |
Study objective |
Medication history is an essential part of patient assessment in emergency care. Patient-reported medication history can be incomplete. We study whether an electronic pharmacy-sourced prescription record can supplement the patient-reported history.
Methods |
In a community hospital, we compared the patient-reported history obtained by triage nurses to a proprietary electronic pharmacy record in all emergency department (ED) patients during 3 months.
Results |
Of 9,426 triaged patients, 5,001 (53%) had at least 1 (mean 7.7) prescription medication in the full-year electronic pharmacy record. Counting only recent prescription medications (supply lasting to at least 7 days before the ED visit), 3,688 patients (39%) had at least 1 (mean 4.0) recent medication. After adjustment for possible false-positive results, recent electronic prescription medication record enriched the patient-reported history by 28% (adding 1.1 drugs per patient). However, only 60% of patients with any active prescription medications from either source had any recent prescription medications in their electronic pharmacy record.
Conclusion |
The electronic pharmacy prescription record augments the manually collected history.
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| Supervising editor: Donald M. Yealy, MD |
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| Author contributions: KWF and CJM conceived and designed the study, obtained research funding, performed the data analysis, and drafted the article. MK designed the software for collection and deidentification of the data. KWF, MK, and CJM supervised the conduct of the study and data collection. FC provided statistical advice on the study design and data analysis. All authors contributed substantially to article revision. KWF takes responsibility for the paper as a whole. |
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| Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article as per ICMJE conflict of interest guidelines (see www.icmje.org). The authors have stated that no such relationships exist. This work was funded in part by the National Naval Medical Center in support of the Bethesda Hospitals' Emergency Preparedness Partnership and was supported by the Intramural Research Program of the National Institutes of Health, National Library of Medicine. |
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| Publication date: Available online May 21, 2013. |
Vol 62 - N° 3
P. 205-211 - septembre 2013 Retour au numéro
Article précédent
- Journal Performance Report for 2012
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