The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records

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Autor principal: Kurt REINHART
Formato: Artículo científico
Lenguaje:en
Publicado: Centro de investigaciones y Publicaciones Farmacéuticas 2008
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author Kurt REINHART
author_facet Kurt REINHART
contents The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records Kurt REINHART Teresa CORBO Edward EWEN C. Michael WHITE Medicina computerized United States Drug Hypersensitivity healthcare disparities medical records systems Objective: To evaluate the rate of allergy documentation during inpatient admissions and determine if discrepancies exist between ethnicities and English proficiency, genders, and by medication classes. Methods: Patients at an outpatient clinic with severe medication allergies documented in their electronic medical record were identified. Inpatient hospital admissions following the date this allergy was documented were reviewed and the presence or absence of this documentation in the inpatient electronic medical record was noted. An overall rate of successful documentation of allergies was calculated by dividing the number of admissions where the allergy was entered into by the total number of admissions where the opportunity to enter the allergy existed. Each patients ethnicity, gender, and the class of medication to which they were allergic to, was also recorded to determine if difference exist within each demographic. Results: Overall, allergy information was successfully entered in 84.6% of 246 hospital admissions. This rate was significantly lower (37.5%) among patients whose ethnicity groups, on average, have lower rates of English fluency. There was no significant difference between genders. Allergies to cephalosporins were less likely to be entered (44.4%). Conclusion: Patients who are not proficient in speaking English may be at an increased risk of experiencing an adverse drug reaction as their severe allergies are less likely to be documented during a hospital admission. 2008 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69011553005 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.4 Vol.6
format Artículo científico
id redalyc_69011553005
institution Redalyc
language en
publishDate 2008
publisher Centro de investigaciones y Publicaciones Farmacéuticas
spellingShingle The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records
Kurt REINHART
Medicina
computerized
United States
Drug Hypersensitivity
healthcare disparities
medical records systems
The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records Kurt REINHART Teresa CORBO Edward EWEN C. Michael WHITE Medicina computerized United States Drug Hypersensitivity healthcare disparities medical records systems Objective: To evaluate the rate of allergy documentation during inpatient admissions and determine if discrepancies exist between ethnicities and English proficiency, genders, and by medication classes. Methods: Patients at an outpatient clinic with severe medication allergies documented in their electronic medical record were identified. Inpatient hospital admissions following the date this allergy was documented were reviewed and the presence or absence of this documentation in the inpatient electronic medical record was noted. An overall rate of successful documentation of allergies was calculated by dividing the number of admissions where the allergy was entered into by the total number of admissions where the opportunity to enter the allergy existed. Each patients ethnicity, gender, and the class of medication to which they were allergic to, was also recorded to determine if difference exist within each demographic. Results: Overall, allergy information was successfully entered in 84.6% of 246 hospital admissions. This rate was significantly lower (37.5%) among patients whose ethnicity groups, on average, have lower rates of English fluency. There was no significant difference between genders. Allergies to cephalosporins were less likely to be entered (44.4%). Conclusion: Patients who are not proficient in speaking English may be at an increased risk of experiencing an adverse drug reaction as their severe allergies are less likely to be documented during a hospital admission. 2008 artículo científico 1885-642X https://www.redalyc.org/articulo.oa?id=69011553005 en http://www.redalyc.org/revista.oa?id=690 Pharmacy Practice application/pdf Centro de investigaciones y Publicaciones Farmacéuticas Pharmacy Practice (España) Num.4 Vol.6
title The impact of ethnicity and gender on agreement of severe allergy history between inpatient and outpatient electronic medical records
topic Medicina
computerized
United States
Drug Hypersensitivity
healthcare disparities
medical records systems
url https://www.redalyc.org/articulo.oa?id=69011553005