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A Metadata Extraction Approach for Clinical Case Reports to Enable Advanced Understanding of Biomedical Concepts
Published on: September 20, 2018
An EHR-based method to structure, standardize, and automate clinical documentation tasks for pharmacists to generate
Kimberly A Sanders1, Daniel Wolverton2, Marina Stamopoulos2
1Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina, USA.
Integrating electronic health record tools can improve tracking of clinical pharmacy interventions, such as deprescribing in older adults. This enhances team-based care and provider workflow.
Area of Science:
- Health Informatics
- Clinical Pharmacy
- Geriatric Medicine
Background:
- Team-based care models are increasingly recognized in healthcare.
- Pharmacists' roles in patient care interventions are expanding.
- Accessible tools for tracking clinical services are crucial for integrated care.
Purpose of the Study:
- To describe the feasibility and implementation of electronic health record (EHR) data tools.
- To evaluate a pragmatic clinical pharmacy intervention focused on deprescribing in older adults.
- To assess the integration of data tools within a large academic health system.
Main Methods:
- Utilized specific data tools within an EHR system.
- Focused on a deprescribing intervention for aged adults across multiple clinical sites.
- Analyzed documentation frequency of specific phrases during the intervention.
Main Results:
- Demonstrated clear documentation frequency for interventions in 574 patients on opioids and 537 patients on benzodiazepines.
- Highlighted underutilization and integration challenges of existing clinical decision support and documentation tools.
- Showcased a viable strategy for improving documentation and workflow.
Conclusions:
- Integrated EHR data tools are essential for evaluating clinical pharmacy interventions.
- The implemented strategy offers a solution to underutilization of existing tools.
- Clinical pharmacy information systems play a vital role in research design and intervention evaluation.
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