Format

Send to

Choose Destination
See comment in PubMed Commons below
J Am Med Inform Assoc. 2005 May-Jun;12(3):299-305. Epub 2005 Jan 31.

Parents as partners in obtaining the medication history.

Author information

1
Division of Emergency Medicine, MA-001, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA. stephen.porter@childrens.harvard.edu

Abstract

OBJECTIVE:

Patient-centered information management may overcome barriers that impede high-quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses.

METHODS:

We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma. Parents' data provided via the kiosk during the ED encounter and the documentation of ED nurses and physicians were compared with a telephone-based interview with the parent after discharge that reviewed all asthma-specific medications physically present in the home. Treating clinicians in the ED were blinded to the parents' kiosk entries.

RESULTS:

Sixty-six parents were enrolled and 49 of 66 (74.2%) completed the gold standard interview. When analyzed at the level of individual medications, the validity of parental report was 81% for medication name, 79% for route of delivery, 66% for the form of the medication, and 60% for dose. Parents' report improved on the validity of documentation by physicians across all medication details save for medication name. Parents' report was more valid than nursing documentation at triage for all medication details.

CONCLUSION:

Parents can provide an independent source of medication data that improves on current documentation for key variables that impact quality and safety in emergency asthma care.

Comment in

PMID:
15684127
PMCID:
PMC1090461
DOI:
10.1197/jamia.M1713
[Indexed for MEDLINE]
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Silverchair Information Systems Icon for PubMed Central
    Loading ...
    Support Center