Jaclynn M Moskow|Nicole Cook|Carisa Champion-Lippmann|Saint Anthony Amofah|Angela S. García
Identifying opportunities in EHR to improve the quality of antibiotic allergy data
Nova Southeastern University|Nova Southeastern University|Nova Southeastern University|Health Choice Network|Nova Southeastern University
antimicrobial resistance growing global public health crisis due large part overuse misuse antibiotics understanding medication allergy data allergy reactions documented electronic health records ehrs help identify opportunities improve quality documentation betalactam allergies thus potentially reducing prescribing alternative antibioticsmedication allergies allergy reactions recorded ehr 319 051 patients seen across 32 community health centers reviewed patients betalactam allergy recorded ehr identified free text well standardized allergy allergy reaction fields analyzedamong patients 91 n 29 095 evidence betalactam allergy recorded ehr women white nonhispanic patients likely documented allergy compared men black hispanic patients among patients documented betalactam allergy 362 empty missing allergy reaction description ehrfindings suggest current ehr documentation practices among health centers reviewed provide enough information allergic reactions allow providers discern true allergies common anticipated drug side effects improved ehr documentation guidance training reinforces use standardized data detailed recording allergic reactions combined initiatives address patient barriers including health literacy may help improve accuracy drug allergies patients records initiatives combined antimicrobial stewardship programs help reduce inappropriate prescribing alternative antibiotics betalactam antibiotics firstline tolerated