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The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Implications for Safety Net Care for Diverse Populations.

Abstract：

:Widespread electronic health record (EHR) implementation creates new challenges in the diabetes care of complex and diverse populations, including safe medication prescribing for patients with limited health literacy and limited English proficiency. This review highlights how the EHR electronic prescribing transformation has affected diabetes care for vulnerable patients and offers recommendations for improving patient safety through EHR electronic prescribing design, implementation, policy, and research. Specifically, we present evidence for (1) the adoption of RxNorm; (2) standardized naming and picklist options for high alert medications such as insulin; (3) the widespread implementation of universal medication schedule and language-concordant labels, with the expansion of electronic prescription 140-character limit; (4) enhanced bidirectional communication with pharmacy partners; and (5) informatics and implementation research in safety net healthcare systems to examine how EHR tools and practices affect diverse vulnerable populations.

journal_name

J Diabetes Res

journal_title

Journal of diabetes research

authors

Ratanawongsa N,Chan LL,Fouts MM,Murphy EJ

doi

10.1155/2017/8983237

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

8983237

eissn

2314-6745

issn

2314-6753

journal_volume

2017

pub_type

杂志文章,评审

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