The impact of ethnicity and gender on agreementof severe allergy history between inpatient andoutpatient electronic medical record
Pharm. pract. (Granada, Internet)
; 6(4): 197-200, oct.-dic. 2008. tab
Artigo
em Inglês
| IBECS
| ID: ibc-72256
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
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 (AU)RESUMEN
Objetivo:
Evaluar la tasa de documentación de alergias durante el ingreso hospitalario y determinar si existen discrepancias entre razas y dominio del inglés, géneros, y grupos terapéuticos.Métodos:
Se identificó a pacientes en una clínica ambulatoria con alergias graves a medicamentos documentadas en su historial electrónico. Se revisaron los ingresos hospitalarios posteriores a la fecha de la documentación de la alergia y se registró la presencia o ausencia de esta documentación en la historia electrónica hospitalaria. La tasa total de documentación satisfactoria se calculó dividiendo el número de ingresos en los que se había registrado la alergia entre el número total de ingresos en los que existía la oportunidad de que existiese la alergia. También se registró la raza, género y grupo terapéutico de los medicamentos a los que era alérgico cada paciente, para determinar si existían diferencias entre demografías.Resultados:
En general, la información de alergias se registró correctamente en el 94,6% de los 246 ingresos hospitalarios. Esta tasa fue significativamente menor (37,5%) en pacientes cuyos grupos étnicos, en general, tenían menor dominio del inglés. No hubo diferencias significativas entre géneros. Las alergias a cefalosporinas fueron las menos frecuentes de ser registradas (44,4%).Conclusión:
Los pacientes que no tienen dominio del inglés pueden tener un mayor riesgo de experimentar una reacción adversa, ya que sus alergias graves son menos probablemente documentadas durante el ingreso hospitalario (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
Problema de saúde:
Objetivo 6: Sistemas de informação em saúde
Base de dados:
IBECS
Assunto principal:
Sistemas Computadorizados de Registros Médicos
/
Hipersensibilidade a Drogas
/
Assistência Ambulatorial
/
Hospitalização
Tipo de estudo:
Estudo prognóstico
Aspecto:
Determinantes sociais da saúde
Limite:
Humanos
País/Região como assunto:
América do Norte
Idioma:
Inglês
Revista:
Pharm. pract. (Granada, Internet)
Ano de publicação:
2008
Tipo de documento:
Artigo
Instituição/País de afiliação:
Christiana Care Health System/United States
/
Hartford Hospital/United States