Week 6 Flashcards
Goals of Electronic Health Record
Improve quality, safety, efficiency and reduce health disparities
Engage patients and families
Improve care coordination and population and public health
Maintain privacy and security of patient health information
Components of the EMR
Medical History Lab test Diagnostic Test Problem List Clinical notes Treatment notes
Data Collection
Systemic approach
Pre-encounter assessment (chart review)
Mild-encounter assessment
Post-encounter assessment
Chart review
Patient collecting forms or monitoring forms –> organizations
Define Drug Related Problems
Events or issues surrounding drug therapy that actually or may potentially interfere with a patient’s ability to receive an optimal therapeutic outcome
Types of Drug Related Problems
Indication lacking a drug Indication with incorrect drug Wrong dosage Inappropriately receiving drug Adverse reaction to a drug Drug interaction Drug lacking indication
Factors that affect intervention
Hospital vs community Level of rapport Nature of intervention (major vs minor) Experience Prescriber's experience Knowledge
Pearls of calling on prescriptions
Communicate appropriately Know your recommendation Stay humble but be confident Don't fear rejection Patient care is bottom line