Evidence map›Paper›PMID 23304384›Full record

ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2012

How many medication orders are entered through free-text in EHRs?--a study on hypoglycemic agents.

Li Zhou, Lisa M Mahoney, Anastasiya Shakurova, Foster Goss, Frank Y Chang, David W Bates, Roberto A Rocha

Abstract read
In one paragraph

Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Safety risks and workflow implications associated with nursing-related free-text communication orders.Journal of the American Medical Informatics Association : JAMIA · 2023
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Electronic Health Record (EHR) Abstraction.Perspectives in health information managemen · 2021
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Embracing the Insulin Revolution in the Ambulatory Care Setting.Diabetes spectrum : a publication of the American Diabetes Association · 2016
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Li ZhouClinical Informatics Research & Development, Partners HealthCare System, Boston, MA, USA.
Lisa M Mahoney
Anastasiya Shakurova
Foster Goss
Frank Y Chang
David W Bates
Roberto A Rocha

Funding

RESEARCH TRAINING-MEDICAL INFORMATICS 90T15LM007092 · NLM · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Nils Gehlenborg · 1992 to 2026
$32.8M
Integration of an NLP-based application to support medication managementR21HS021544 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2012 to 2013
$298k
Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical TextsR03HS018288 · AHRQ · BRIGHAM AND WOMEN'S HOSPITAL · PI ZHOU, LI · 2009 to 2010
$99k
AHRQ HHS 1R03HS018288-01AHRQ HHS R03 HS018288AHRQ HHS R21 HS021544NLM NIH HHS T15 LM007092NLM NIH HHS T15- LM007092
6 · The paper itself

Abstract

Computerized Provider Order Entry (CPOE) can reduce medication errors; however, its benefits are only achieved when data are entered in a structured format and entries are properly coded. This paper aims to explore the incidence of free-text medication order entries involving hypoglycemic agents in an ambulatory electronic health record (EHR) system with CPOE. Our results showed that free-text order entry continues to be frequent. During 2010, 9.3% of hypoglycemic agents were entered as free-text for 2,091 patients. 17.4% of the entries contained misspellings. The highest proportion of free-text entries were found in urgent care clinics (49.4%) and among registered nurses (31.5%). Additionally, 92 drug-drug interaction alerts were not triggered due to free-text entries. Only 25.9% of the patients had diabetes recorded in their problem list. Solutions will require policy to enforce structured entry, ongoing improvement in user-interface design, improved training for users, and strategies for maintaining a complete medication list.

Indexed as

Drug Therapy, Computer-AssistedMedical Order Entry SystemsDecision Support Systems, ClinicalDelivery of Health Care, IntegratedHumansHypoglycemic AgentsMedical Records Systems, ComputerizedMedication ErrorsMedication Systems, HospitalHypoglycemic Agents

Identifiers

PMID23304384
PMCPMC3540584

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.