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Graphical timeline software for inpatient medication review.

William J Gordon¹, Ishir Bhan¹

¹Massachusetts General Hospital, USA.

Health Informatics Journal

|January 14, 2017

Summary

MedHistory, a graphical medication timeline software, significantly improved how clinicians interact with electronic health records. Reviewing medication history became easier, faster, and better integrated into daily workflow, enhancing overall satisfaction.

Keywords:

data visualization electronic medical records medication administration

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Area of Science:

Health Informatics
Clinical Software Development
Medical Record Systems

Background:

Clinician interaction with electronic health records (EHRs) can be challenging, particularly for medication management.
Efficiently reviewing medication history is crucial for patient safety and effective treatment.

Purpose of the Study:

To evaluate the impact of MedHistory, a novel web-based software module, on clinician interaction with inpatient medication records.
To assess improvements in ease of use, workflow integration, and user satisfaction with EHR software.

Main Methods:

A pre- and post-intervention survey was administered to house officers using MedHistory.
MedHistory graphically displays medication usage over time.
Usage logs were maintained for one year post-study.

Main Results:

Post-intervention surveys showed significant improvements in ease of reviewing medication history (32.4% vs 13.2%, p = .008).
Medication review was better integrated into resident workflow (75.7% vs 38.9%, p < .001), with increased EHR satisfaction (29.7% vs 2.6%, p = .002).
Determining medication timing (50.1% vs 29%, p = .045) and dosing history (43.2% vs 21.1%, p = .036) was also easier.

Conclusions:

MedHistory, a graphical medication timeline, was favorably received by clinicians.
The software enhanced efficiency, speed, safety, and workflow related to inpatient medication administration.
MedHistory offers a valuable tool for improving EHR usability in medication management.