Evidence map›Paper›PMID 39379926›Full record

ArticleBMC pulmonary medicine2024

Decoding oxygen prescriptions: electronic health record documentation versus patient-reported use.

Wilson Tang, J Smith, J Dakkak, A Balasubramanian, B Seth, C Leotta, S C Mathai, M C McCormack, S Acharya, A Calypso and 1 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Wilson TangThe Johns Hopkins University School of Medicine, Baltimore, MD, USA. wilson.t.tang@gmail.com.
J SmithThe Johns Hopkins University, Baltimore, MD, USA.
J DakkakThe Johns Hopkins University, Baltimore, MD, USA.
A BalasubramanianThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
B SethThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
C LeottaThe Johns Hopkins University, Baltimore, MD, USA.
S C MathaiThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
M C McCormackThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
S AcharyaThe Johns Hopkins University, Baltimore, MD, USA.
A CalypsoThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.
S K DanoffThe Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong term oxygen therapy (LTOT) is prescribed for hypoxemia in pulmonary disease. Like other medical therapies, LTOT requires a prescription documenting the dosage (flow rate) and directions (at rest, with activity) which goes to a supplier. Communication with patients regarding oxygen prescription (flow rate, frequency, directions), monitoring (pulse oximetry) and dosage adjustment (oxygen titration) differs in comparison with medication prescriptions. We examined the communication of oxygen management plans in the electronic health record (EHR), and their consistency with patient-reported LTOT use. STUDY DESIGN AND

methodsA cross-sectional study was conducted in 71 adults with chronic lung disease on LTOT. Physician communication regarding oxygen management was obtained from the EHR. Participants were interviewed on their LTOT management plan. The information from each source was compared.

resultsThe study population was, on average, 64 years, two-thirds women, and most used oxygen for over 3 years. Only 45% of both at-rest and with-activity oxygen prescriptions were documented in the Electronic Health Record (EHR). Less than 20% of prescriptions were relayed to the patient in the after-visit summary. Of those with EHR-documented oxygen prescriptions, 44% of patients adhered to prescribed oxygen flow rates. Nearly all patients used a pulse oximeter (96%).

interpretationWe identified significant gaps in communication of oxygen management plans from provider to patient. Even when the oxygen prescription was clearly documented, there were differences in patient-reported oxygen management. Critical gaps in oxygen therapy result from the lack of consistent documentation of oxygen prescriptions in the EHR and patient-facing documents. Addressing these issues systematically may improve home oxygen management.

Indexed as

Electronic Health RecordsOxygen Inhalation TherapyAdultAgedCross-Sectional StudiesDocumentationFemaleHumansLung DiseasesMaleMiddle AgedOximetryOxygenPrescriptionsOxygenElectronic Health Record (EHR)Long-term oxygen therapy (LTOT)Oxygen management communicationOxygen prescription

Identifiers

PMID39379926
PMCPMC11460145

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