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Indication alerts to improve problem list documentation.

Anne GrauerJerard Kneifati-HayekBrian ReulandJo R ApplebaumJason S AdelmanRobert A GreenJeanette Lisak-PhillipsDavid LiebovitzThomas F ByrdPreeti KansalCheryl WilkesSuzanne FalckConnie LarsonJohn ShilkaElizabeth VanDrilGordon D SchiffWilliam L GalanterBruce L Lambert
Published in: Journal of the American Medical Informatics Association : JAMIA (2022)
Indication alerts triggered by medication orders initiated in the absence of a justifying diagnosis were useful for populating problem lists, with yields of 83.2% and 46.5% at 2 healthcare systems. Problems were placed with a reasonable level of accuracy, with 90% ± 2% of problems deemed accurate based on chart review.
Keyphrases
  • healthcare
  • mental health
  • electronic health record
  • high resolution
  • adverse drug
  • emergency department
  • social media