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Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.

Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. doi: 10.1097/pts.0000000000000711

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January 1, 2022
Li L, Foer D, Hallisey RK, et al. J Patient Saf. 2022;18(1):e108-e114.

Despite the introduction of computerized provider order entry into electronic health records, providers still frequently use free-text fields to communicate important information which introduces a patient safety riskOne healthcare system searched allergy-related free-text fields, identifying more than 242,000 entries. Approximately 131,000 were manually or automatically remediated (e.g., “latex from back brace” and “gloves” were coded “latex-natural rubber”).

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Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. doi: 10.1097/pts.0000000000000711