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Medication safety after implementation of a commercial electronic health record system in five safety‐net practices: A mixed methods approach
dc.contributor.authorPohl, Joanne M.en_US
dc.contributor.authorTanner, Clareen_US
dc.contributor.authorHamilton, Andrewen_US
dc.contributor.authorKaleba, Erin O.en_US
dc.contributor.authorRachman, Fred D.en_US
dc.contributor.authorWhite, Joanneen_US
dc.contributor.authorZheng, Kaien_US
dc.date.accessioned2014-08-06T16:49:37Z
dc.date.availableWITHHELD_13_MONTHSen_US
dc.date.available2014-08-06T16:49:37Z
dc.date.issued2014-08en_US
dc.identifier.citationPohl, Joanne M.; Tanner, Clare; Hamilton, Andrew; Kaleba, Erin O.; Rachman, Fred D.; White, Joanne; Zheng, Kai (2014). "Medication safety after implementation of a commercial electronic health record system in five safety‐net practices: A mixed methods approach." Journal of the American Association of Nurse Practitioners 26(8): 438-444.en_US
dc.identifier.issn2327-6886en_US
dc.identifier.issn2327-6924en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/108016
dc.description.abstractPurpose This study, conducted in five safety‐net practices, including two nurse‐managed health centers (NMHCs) and three federally qualified health centers (FQHCs), examined the impact of implementing a commercial electronic health records (EHRs) system on medication safety. Data source A mixed methods approach with two sources of data were used: (a) a query of prescription records captured by the EHR retrieving co‐prescribed medications with identified drug–drug interaction (DDI) risks, and (b) semistructured interviews with clinicians and leadership about the usability and benefits of EHR‐embedded clinical decision support in the form of DDI alerts. Conclusions We found an exceptionally low rate of DDI pairs in all five practices. Only 130 “true” DDI pairs were confirmed representing 149,087 visits and 62 providers. Among the 130, the largest categories were related to antihypertensive medications, which are in fact often prescribed together. There were no significant differences between physicians and nurse practitioners on the rate of DDI pairs nor between NMHCs and FQHCs. Implications for practice Implementation of an EHR in these five safety‐net settings had a positive impact on medication safety. The issue of missing end dates is noteworthy in terms of DDIs and unnecessary alerts that could lead to alert fatigue.en_US
dc.publisherSageen_US
dc.publisherWiley Periodicals, Inc.en_US
dc.subject.otherSafetyen_US
dc.subject.otherQualitativeen_US
dc.subject.otherPrimary Careen_US
dc.subject.otherInformation Technologyen_US
dc.subject.otherMedicationsen_US
dc.subject.otherUnderserveden_US
dc.titleMedication safety after implementation of a commercial electronic health record system in five safety‐net practices: A mixed methods approachen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelNursingen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/108016/1/jaan12089.pdf
dc.identifier.doi10.1002/2327-6924.12089en_US
dc.identifier.sourceJournal of the American Association of Nurse Practitionersen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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