TY - JOUR
T1 - Accuracy of the medication list in the electronic health record - Implications for care, research, and improvement
AU - Walsh, Kathleen E.
AU - Marsolo, Keith A.
AU - Davis, Cori
AU - Todd, Theresa
AU - Martineau, Bernadette
AU - Arbaugh, Carlie
AU - Verly, Frederique
AU - Samson, Charles
AU - Margolis, Peter
N1 - Funding Information:
This work was supported through funding from the Agency for Healthcare Research and Quality (R01 HS022974) and by the participating centers of the ImproveCareNow Network (www.improvecarenow.org). Competing Interests Statement: the authors have no competing interests to declare.
Publisher Copyright:
© 2018 The Author(s).
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Objective: Electronic medication lists may be useful in clinical decision support and research, but their accuracy is not well described. Our aim was to assess the completeness of the medication list compared to the clinical narrative in the electronic health record. Methods: We reviewed charts of 30 patients with inflammatory bowel disease (IBD) from each of 6 gastroenterology centers. Centers compared IBD medications from the medication list to the clinical narrative. Results: We reviewed 379 IBD medications among 180 patients. There was variation by center, from 90% patients with complete agreement between the medication list and clinical narrative to 50% agreement. Conclusions: There was a range in the accuracy of the medication list compared to the clinical narrative. This information may be helpful for sites seeking to improve data quality and those seeking to use medication list data for research or clinical decision support.
AB - Objective: Electronic medication lists may be useful in clinical decision support and research, but their accuracy is not well described. Our aim was to assess the completeness of the medication list compared to the clinical narrative in the electronic health record. Methods: We reviewed charts of 30 patients with inflammatory bowel disease (IBD) from each of 6 gastroenterology centers. Centers compared IBD medications from the medication list to the clinical narrative. Results: We reviewed 379 IBD medications among 180 patients. There was variation by center, from 90% patients with complete agreement between the medication list and clinical narrative to 50% agreement. Conclusions: There was a range in the accuracy of the medication list compared to the clinical narrative. This information may be helpful for sites seeking to improve data quality and those seeking to use medication list data for research or clinical decision support.
UR - http://www.scopus.com/inward/record.url?scp=85055653304&partnerID=8YFLogxK
U2 - 10.1093/jamia/ocy027
DO - 10.1093/jamia/ocy027
M3 - Article
C2 - 29771350
AN - SCOPUS:85055653304
SN - 1067-5027
VL - 25
SP - 909
EP - 912
JO - Journal of the American Medical Informatics Association
JF - Journal of the American Medical Informatics Association
IS - 7
ER -