Review
Health Care Sciences & Services
Pablo Ciudad-Gutierrez, Paula del Valle-Moreno, Santiago Jose Lora-Escobar, Ana Belen Guisado-Gil, Eva Rocio Alfaro-Lara
Summary: The development of health information technology has increased the availability of electronic tools for healthcare professionals, but few of these tools include information about medication reconciliation. A systematic review was conducted to identify and summarize electronic medication reconciliation tools for healthcare professionals. Twelve tools were identified, with features such as viewing and comparing medication lists and grouping medications into categories. Some tools showed a reduction in adverse drug events or medication discrepancies, but no significant differences in emergency room visits or hospital readmissions were found. The main features requested by healthcare professionals were interoperability, user-friendly information, and integration with the ordering process.
JOURNAL OF MEDICAL SYSTEMS
(2023)
Review
Medical Informatics
Catherine Waldron, Joan Cahill, Sam Cromie, Tim Delaney, Sean P. Kennelly, Joshua M. Pevnick, Tamasine Grimes
Summary: A rapid realist review was conducted to develop theories explaining the impact of Personal Electronic Records of Medications (PERMs) on medication reconciliation at care transitions. Ten provisional theories were identified, relating to design, implementation, and use of PERMs. These theories are interdependent and may collectively impact the effectiveness of PERMs in practice. Further evaluation is needed to test their validity.
BMC MEDICAL INFORMATICS AND DECISION MAKING
(2021)
Article
Nursing
Anne Kuusisto, Kaija Saranto, Paeivi Korhonen, Elina Haavisto
Summary: This study aimed to explore the experiences of social and healthcare professionals in end-of-life care planning and documentation. Through interviews, data were collected from different professionals and two main categories were identified: patient-oriented end-of-life care planning and multi-professional end-of-life care planning documentation. The results showed that healthcare professionals emphasized the need for structured documentation to support proactive, patient-oriented, and multi-professional end-of-life care planning.
Article
Pediatrics
Dorothee Meyer, Sven Kernebeck, Theresa Sophie Busse, Jan Ehlers, Julia Wager, Boris Zernikow, Larissa Alice Dreier
Summary: Professionals in specialized PPC expect and experience many benefits of using electronic documentation. Their requirements for an EHR for inpatient and outpatient settings of PPC are largely consistent with EHRs for pediatrics. However, individual specifications and adaptations are necessary for this particular setting.
Article
Nursing
Preben Sovik Moldskred, Anne Kristin Snibsoer, Birgitte Espehaug
Summary: This study evaluated the quality of electronic nursing records in a residential care home through a criteria-based clinical audit, and implemented tailored interventions to improve the documentation practice. Although improvements were noted after the multifaceted intervention strategy, the standards for recommended nursing documentation practice were still not met in the re-audit. Further cycles of the clinical audit process are necessary to achieve sustained improvement in nursing documentation.
Article
Computer Science, Information Systems
Jungwon Cho, Eunsook Lee, Keehyuck Lee, Ho-Young Lee, Euni Lee
Summary: The program "Patient's In-home Medications at a Glance" significantly improved the efficiency of identifying patients' medication lists during emergency department visits, providing more accurate information for medical care and enabling hospitals and emergency departments to better serve patients.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2022)
Article
Computer Science, Information Systems
Denise J. van der Nat, Margot Taks, Victor J. B. Huiskes, Bart J. F. van den Bemt, Hein A. W. van Onzenoort
Summary: The study aimed to compare the level of identified medication discrepancies between traditional medication reconciliation (MR) and an online personalized health record (PHR) as well as the correctness of the identified discrepancies using PHR. Results showed that patients who used an online PHR were able to relatively accurately record their medication lists, highlighting the potential benefits of PHRs in reducing medication discrepancies. Further research is needed to explore the applicability and accuracy of PHRs in other (larger) hospital departments.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2021)
Article
Computer Science, Information Systems
Minna Mykkanen, Ulla-Mari Kinnunen, Pia Liljamo, Outi Ahonen, Anne Kuusisto, Kaija Saranto
Summary: This study analyzed the use of the Finnish Care Classification (FinCC) in assessing patient care needs, care implementations, and outcomes of nursing care. The results showed that standardized nursing data can make patients' daily care transparent and can be utilized to generate new knowledge at the ward level.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2022)
Article
Psychiatry
Paolo Zanaboni, Eli Kristiansen, Ove Lintvedt, Rolf Wynn, Monika A. Johansen, Tove Sorensen, Asbjorn J. Fagerlund
Summary: This study explored the impact of patient accessible electronic health records (PAEHR) on mental health professionals. The results showed that PAEHR was considered a tool to increase transparency and improve the patient-provider relationship. Negative consequences of PAEHR were limited to specific situations, such as for patients with severe mental conditions, child protective services when parents access their children's journal, or for patients with abusive partners. The functionality to deny access to the journal was rarely used and instead, health professionals would delay final approval of the notes to restrict immediate access. The way of writing in the electronic health records changed over the years, but it was uncertain how much of it was due to the introduction of PAEHR.
Article
Medicine, General & Internal
Rohan A. Elliott, Simone E. Taylor, Stella M. K. Koo, Anny D. Nguyen, Esther Liu, Grace Loh
Summary: The accuracy of medication histories derived from prescription exchange services (PES) was evaluated, and it was found that there was a high error rate compared to patients' actual medication use. Additional verification from other sources, including the patient and/or their carer, is necessary.
INTERNAL MEDICINE JOURNAL
(2022)
Article
Pharmacology & Pharmacy
Ze-Yun Lee, Elien B. Uitvlugt, Fatma Karapinar-Carkit
Summary: This study found that medication-related readmissions (MRRs) are not always recognized and communicated in the care continuum. The medication involved was less often documented for preventable MRRs and MRRs with undocumented medication involved had longer length of stay. Therefore, improvement in communication of MRRs to patients and next healthcare providers is needed.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Psychology, Developmental
Julia Pickel, Anjali Singapur, Jungwon Min, Danielle Petsis, Kenisha Campbell, Sarah Wood
Summary: The study aimed to evaluate sexual history documentation and Chlamydia trachomatis screening practices in a large pediatric primary care network. The findings showed variations in sexual history documentation across clinics, with the majority of chart notes being noninformative. This highlights the importance of addressing barriers and improving comprehensive sexual health care for adolescents.
JOURNAL OF ADOLESCENT HEALTH
(2022)
Article
Multidisciplinary Sciences
Victoria Vargas, Weston Blakeslee, Colin Banas, Christian Teter, Katherine Dupuis-Dobson, Carol Aboud
Summary: This study established a rating scale for reporting medication errors corrected by pharmacy staff during admission medication reconciliation and quantifying the value of investment in transitions-of-care pharmacy staff.
Article
Medicine, General & Internal
Fatemah M. Alsaleh, Sara Alsaeed, Zahra K. Alsairafi, Noor B. Almandil, Abdallah Y. Naser, Tania Bayoud
Summary: The study highlighted that medication errors are common in secondary care hospitals in Kuwait and can occur at various stages of practice. Healthcare professionals suggested strategies to reduce medication errors, including proper communication, double-checking procedures, providing training, and computerizing the health system.
FRONTIERS IN MEDICINE
(2021)
Review
Ophthalmology
Abison Logeswaran, Yu Jeat Chong, Matthew R. Edmunds
Summary: Practical qualitative methodologies can be used by healthcare professionals in the design, implementation and evaluation of ophthalmology electronic health records (EHRs). These methods aim to meet the needs of users through user centred design (UCD) rather than making users adapt to the product. High-yield, low-fidelity tools can engage HCPs in the process without the need for prior training in usability science.
OPHTHALMOLOGY AND THERAPY
(2021)
Article
Health Policy & Services
Virpi Jylha, David W. Bates, Kaija Saranto
HEALTH INFORMATION MANAGEMENT JOURNAL
(2016)
Article
Computer Science, Information Systems
Virpi Jylha, Santtu Mikkonen, Kaija Saranto, David W. Bates
METHODS OF INFORMATION IN MEDICINE
(2017)
Article
Management
Allison Squires, Virpi Jylha, Jin Jun, Anneli Ensio, Juha Kinnunen
JOURNAL OF NURSING MANAGEMENT
(2017)
Article
Health Care Sciences & Services
Virpi Jylha, Kaija Saranto, David W. Bates
INTERNATIONAL JOURNAL FOR QUALITY IN HEALTH CARE
(2011)
Article
Health Care Sciences & Services
Pieter Van Herck, Walter Sermeus, Virpi Jylha, Dominik Michiels, Koen Van den Heede
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2009)
Article
Nursing
Chiara Dall'Ora, Peter Griffiths, Talia Emmanuel, Anne Marie Rafferty, Sean Ewings, Walter Sermeus, Koen Van den Heede, Luk Bruyneel, Emmanuel Lesaffre, Linda Aiken, Herbert Smith, Douglas Sloane, Simon Jones, Jane Ball, Juha Kinnunen, Anneli Ensio, Virpi Jylha, Reinhard Busse, Britta Zander, Miriam Bluemel, John Mantas, Marianna Diomidous, Anne Scott, Anne Matthews, Anthony Staines, Ingeborg Stromseng Sjetne, Inger Margrethe Holter, Tomasz Brzostek, Maria Kozka, Piotr Brzyski, Teresa Moreno-Casbas, Carmen Fuentelsaz-Gallego, Esther Gonzalez-Maria, Teresa Gomez-Garcia, Carol Tishelman, Rikard Lindqvist, Lisa Smeds-Alenius, Sabina De Geest, Maria Schubert, Rene Schwendimann, Dietmar Ausserhofer, Theo van Achterberg, Maud Heinen, Lisette Schoonhoven
JOURNAL OF CLINICAL NURSING
(2020)
Article
Nursing
Anne Korhonen, Tuovi Hakulinen-Viitanen, Virpi Jylha, Arja Holopainen
SCANDINAVIAN JOURNAL OF CARING SCIENCES
(2013)
Article
Nursing
Rikard Lindqvist, Lisa Smeds Alenius, Sara Runesdotter, Anneli Ensio, Virpi Jylha, Juha Kinnunen, Ingeborg Stromseng Sjetne, Christine Tvedt, Maria Wiberg Tjonnfjord, Carol Tishelman
