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Approach to Improving Safety
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Clinical Information Systems
Search results for "Electronic Health Records"
- Electronic Health Records
- Side Effects/Adverse Drug Reactions
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Cases & Commentaries
Patient Allergies and Electronic Health Records
- Web M&M
Matthew J. Doyle, MBBS; April 2017
Prior to undergoing a CT scan, a patient with no allergies documented in the electronic health record (EHR) described a history of hives after receiving contrast. During a follow-up clinic visit, the patient inquired whether this contrast reaction was listed in the EHR. Investigation revealed that it had been removed from the patient's profile, thus leaving the record with no evidence of allergy to contrast.
Newspaper/Magazine Article
Multiple latent failures align to allow a serious drug interaction to harm a patient.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2011;16:1-3.
Detailing a case in which latent failures led to patient harm, this article encourages health care providers investigating adverse events to consider how both active and latent failures may line up to cause errors.
Cases & Commentaries
Hospital Admission Due to High-Dose Methotrexate Drug Interaction
- Web M&M
Lydia C. Siegel, MD; Tejal K. Gandhi, MD, MPH; January 2009
Four months after surgery, a woman with osteosarcoma receiving outpatient chemotherapy was admitted for possible cellulitis. Discharged home on methotrexate and antibiotics, the patient developed methotrexate toxicity, partly due to a drug interaction.