Innovations in Health Care Delivery: Drug Allergy

Ramsey, Allison; Sheikh, Aziz

doi:10.1016/j.jaip.2019.04.050

Cited by 10 publications

(5 citation statements)

References 65 publications

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“…Open access are often based on triggers such as the documentation of a patient's allergies. 8 While medication alert systems for allergies have been implemented regularly, alert systems with decision support to identify and resolve newly occurring ADRs are rarely found. In addition, many EHR alert systems have a technology-centric design that fails to take into account the HCPs' cognitive processes and workflow.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

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Strategies prescribers and pharmacists use to identify and mitigate adverse drug reactions in inpatient and outpatient care: a cognitive task analysis at a US Veterans Affairs Medical Center

et al. 2022

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ObjectiveTo develop a descriptive model of the cognitive processes used to identify and resolve adverse drug reactions (ADRs) from the perspective of healthcare providers in order to inform future informatics effortsSettingInpatient and outpatient care at a tertiary care US Veterans Affairs Medical Center.ParticipantsPhysicians, nurse practitioners and pharmacists who report ADRs.OutcomesDescriptive model and emerging themes from interviews.ResultsWe conducted critical decision method interviews with 10 physicians and 10 pharmacists. No nurse practitioners submitted ADR incidents. We generated a descriptive model of an ADR decision-making process and analysed emerging themes, categorised into four stages: detection of potential ADR, investigation of the problem’s cause, risk/benefit consideration, and plan, action and follow-up. Healthcare professionals (HCPs) relied on several confirmatory or disconfirmatory cues to detect and investigate potential ADRs. Evaluating risks and benefits of related medications played an essential role in HCPs' pursuits of solutionsConclusionsThis study provides an illustrative model of how HCPs detect problems and make decisions regarding ADRs. The design of supporting technology for potential ADR problems should align with HCPs' real-world cognitive strategies, to assist fully in detecting and preventing ADRs for patients.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

“…Indeed, automated computerised order checks, frequently resulting in drug alerts, are often based on triggers such as the documentation of a patient’s allergies. 8 …”

Section: Introductionmentioning

confidence: 99%

Strategies prescribers and pharmacists use to identify and mitigate adverse drug reactions in inpatient and outpatient care: a cognitive task analysis at a US Veterans Affairs Medical Center

et al. 2022

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“…97 Electronic health records analysis use for drug hypersensitivity warrants further investigation. 98 Computerized physician order entry and mHealth facilitate real-time identification of potential study subjects for clinical research. 99 ALVAREZ-PEREA ET AL.…”

Section: Electronic Health Recordsmentioning

confidence: 99%

“…The low adoption rate of standardized procedures and protocols for electronic health records platforms may lead to difficulties in coordinating research activities 97 . Electronic health records analysis use for drug hypersensitivity warrants further investigation 98 . Computerized physician order entry and mHealth facilitate real‐time identification of potential study subjects for clinical research 99 …”

Section: Ehealth For Academic and Clinical Researchmentioning

confidence: 99%

The applications of eHealth technologies in the management of asthma and allergic diseases

Alvarez-Perea

Dimov

Popescu

et al. 2021

Clinical & Translational All

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Portable devices, such as smartphones and mobile Internet access have become ubiquitous in the last decades. The term ‘eHealth’ stands for electronic health. The tools included in the eHealth concept utilize phones, computers and the Internet and related applications to improve the health care industry. Implementation of eHealth technologies has been documented for the management of different chronic diseases, including asthma and allergic conditions. Clinicians and patients have gained opportunity to communicate in new ways, which could be used cost‐effectively to improve disease control and quality of life of those affected. Additionally, these innovations bring new opportunities to academic researchers. For example, eHealth has allowed researchers to compile data points that were previously unavailable or difficult to access, and analyse them using novel tools, collectively described as ‘big data’. The role of eHealth become more important since early 2020, due to the physical distancing rules and the restrictions on mobility that have been applied worldwide as a response to the coronavirus disease 2019 pandemic. In this review, we summarize the most recent developments in various eHealth platforms and their relevance to the speciality of allergy and immunology, from the point of view of three major stakeholders: clinicians, patients and researchers.

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“…2 The diagnosis of drug allergy relies on the clinical history, physical examination, skin testing, in vitro/ex vivo tests and drug provocation tests. [3][4][5][6] The problem is that in the case of adverse reactions to illicit drugs, there are no commercialized diagnostic extracts and challenges may be dangerous and can constitute legal and ethical issues. 3 6 This article includes a background on the topic of illicit drug allergy including cannabis, cocaine and opiates/opioids and adverse reactions to alcohol.…”

Section: Introductionmentioning

confidence: 99%