The Impact of Patient Access to Their Electronic Health Record on Medication Management Safety: A Narrative Review.

Ethnology Pub Date : 2022-03-01 Epub Date: 2022-01-10 DOI:10.1016/j.jsps.2022.01.001
Ghadah Assiri
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Abstract

Introduction: As the American's Federal Health Insurance Portability and Accountability Act (HIPAA) stated that patients should be allowed to review their medical records, and as information technology is ever more widely used by healthcare professionals and patients, providing patients with online access to their own medical records through a patient portal is becoming increasingly popular. Previous research has been done regarding the impact on the quality and safety of patients' care, rather than explicitly on medication safety, when providing those patients with access to their electronic health records (EHRs).

Aim: This narrative review aims to summarise the results from previous studies on the impact on medication management safety concepts of adult patients accessing information contained in their own EHRs.

Result: A total of 24 studies were included in this review. The most two commonly studied measures of safety in medication management were: (a) medication adherence and (b) patient-reported experience. Other measures, such as: discrepancies, medication errors, appropriateness and Adverse Drug Events (ADEs) were the least studied.

Conclusion: The results suggest that providing patients with access to their EHRs can improve medication management safety. Patients pointed out improvements to the safety of their medications and perceived stronger medication control. The data from these studies lay the foundation for future research.

患者访问电子病历对用药管理安全的影响:叙述性综述。
引言美国的《联邦健康保险可携性和责任法案》(HIPAA)规定,患者应被允许查看自己的医疗记录,随着信息技术在医疗专业人员和患者中的应用越来越广泛,通过患者门户网站让患者在线查阅自己的医疗记录正变得越来越流行。目的:本综述旨在总结以往关于成年患者访问自己电子病历中的信息对用药管理安全概念的影响的研究结果:结果:本综述共纳入 24 项研究。最常研究的两种药物管理安全措施是(a) 服药依从性和 (b) 患者报告的经历。其他衡量标准,如:差异、用药错误、适当性和药物不良事件(ADEs)的研究最少:结论:研究结果表明,为患者提供电子病历访问权限可提高用药管理的安全性。患者指出他们的用药安全得到了改善,并认为用药控制得到了加强。这些研究数据为今后的研究奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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