ArticleJournal of patient safety2022
Improving Allergy Documentation: A Retrospective Electronic Health Record System-Wide Patient Safety Initiative.
Article in Journal of patient safety, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 9 citations in OpenAlex.
- Computational Approaches to Penicillin Allergy De-labelling: A Clinical Review.Clinical reviews in allergy & immunology · 2026Review
- Current state of electronic problems lists in primary care: a rapid scoping review.Family practice · 2026Article
- Quality of Drug Allergy Documentation in a Resource-Limited Paper-Based Hospital in Pakistan: Audit of Concordance and Completeness.Healthcare (Basel, Switzerland) · 2026Article
- Documentation of Drug and Non-Drug Allergies in Public Hospital Electronic Health Records: A National Survey.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026Article
- Article
- Preparing Allergists to Practice in 2050 Using Artificial Intelligence.The journal of allergy and clinical immunology. In practice · 2025Review
- Using the Electronic Health Record to Facilitate Drug Allergy Delabeling.Current allergy and asthma reports · 2025Review
- Natural Language Processing for Enhanced Clinical Decision Support in Allergy Verification for Medication Prescriptions.Mayo Clinic proceedings. Digital health · 2025Article
- Evaluating the Wasfaty E-Prescribing Platform Against Best Practices for Computerized Provider Order Entry.Healthcare (Basel, Switzerland) · 2025Article
- Building an allergy reconciliation module to eliminate allergy discrepancies in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Preventing Overrides of Severe Drug Allergy Alerts Initiative: an Implemented System Upgrade.Journal of medical systems · 2024Article
- Dynamic reaction picklist for improving allergy reaction documentation: A usability study.International journal of medical informatics · 2023Article
- Patient Characteristics Associated With Reactions to Mrgprx2-Activating Drugs in an Electronic Health Record-Linked Biobank.The journal of allergy and clinical immunology. In practice · 2023Observational
- Digitization in Everyday Nursing Care: A Vignette Study in German Hospitals.International journal of environmental research and public health · 2022Article
- Allergy Safety Events in Health Care: Development and Application of a Classification Schema Based on Retrospective Review.The journal of allergy and clinical immunology. In practice · 2022Article
- Identifying and Reconciling Patients' Allergy Information Within the Electronic Health Record.Studies in health technology and informatics · 2022Article
- Heterogeneity of Drug Allergies and Reaction Lists in Two U.S. Health Care Systems' Electronic Health Records.Applied clinical informatics · 2022Article
- Patient Safety Risks Associated with Current Allergy-Related Clinical Decision Support.Hospital pharmacy · 2022Article
Corrections and comments
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Authors and funding
13 authors at 5 institutions in 1 country.
Funding
Abstract
objectivesDocumentation of allergies in a coded, non-free-text format in the electronic health record (EHR) triggers clinical decision support to prevent adverse events. Health system-wide patient safety initiatives to improve EHR allergy documentation by specifically decreasing free-text allergy entries have not been reported. The goal of this initiative was to systematically reduce free-text allergen entries in the EHR allergy module.
methodsWe assessed free-text allergy entries in a commercial EHR used at a multihospital integrated health care system in the greater Boston area. Using both manual and automated methods, a multidisciplinary consensus group prioritized high-risk and frequently used free-text allergens for conversion to coded entries, added new allergen entries, and deleted duplicate allergen entries. Environmental allergies were moved to the patient problem list.
resultsWe identified 242,330 free-text entries, which included a variety of environmental allergies (42%), food allergies (18%), contrast media allergies (13%), "no known allergy" (12%), drug allergies (2%), and "no contrast allergy" (2%). Most free-text entries were entered by medical assistants in ambulatory settings (34%) and registered nurses in perioperative settings (20%). We remediated a total of 52,206 free-text entries with automated methods and 79,578 free-text entries with manual methods.
conclusionsThrough this multidisciplinary intervention, we identified and remediated 131,784 free-text entries in our EHR to improve clinical decision support and patient safety. Additional strategies are required to completely eliminate free-text allergy entry, and establish systematic, consistent, and safe guidelines for documenting allergies.
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Registered trials
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.