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Patient-interactive computer system for obtaining medication histories

J M DeLeo1, F Pucino, K A Calis

  • 1Division of Computer Research and Technology, National Institutes of Health, Bethesda, MD 20892.

American Journal of Hospital Pharmacy
|November 1, 1993
PubMed
Summary
This summary is machine-generated.

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A new computerized system helps patients provide detailed medication histories interactively. This patient-interactive tool ensures comprehensive data collection, similar to human interviews, improving medical record accuracy.

Area of Science:

  • Health Informatics
  • Patient-Reported Outcomes
  • Clinical Pharmacy

Background:

  • Accurate medication histories are crucial for patient safety and effective treatment.
  • Physicians often obtain incomplete medication information during routine examinations.
  • A need exists for systematic and comprehensive medication history collection methods.

Purpose of the Study:

  • To describe a portable, patient-interactive computerized system for obtaining medication histories.
  • To evaluate the system's usability, accuracy, and comprehensiveness compared to traditional methods.

Main Methods:

  • Development of a comprehensive interview script in lay language, covering various health aspects.
  • Implementation of the script into a computerized program using Microsoft QuickBASIC for personal computers.

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  • Patient interviews conducted via the system, followed by generation of summary reports.

    • Main Results:

    • Patients completed the interview in an average of 40 minutes.
    • Data entry was reported as easy and accurate by patients.
    • The system received a high overall rating from users.
    • Generated reports were comprehensive, consistent, and suitable for medical records.

    Conclusions:

    • The patient-interactive computerized system effectively obtains comprehensive medication histories.
    • The system is comparable to human interviewers in time and quality of information gathered.
    • This technology offers a portable and accessible solution for improving medication history documentation.