AAAAI Position Statement on Changing Electronic Health Record Allergy Documentation to "Alerts" to Lead to Easily Understood, Actionable Labels.

Andrew A White, Allison Ramsey, Autumn Guyer, Ryan B Israelsen, Farah Khan, Blanka Kaplan, Santhosh Kumar, Kimberly G Blumenthal, Kimberly Risma, Sujani Kakumanu, Eric Macy
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Abstract

The term "allergy" is inaccurate for the vast majority of the contents in the current allergy fields of electronic health records (EHRs). While EHRs have transformed access to health information and streamlined the delivery of care, their ability to reliably indicate medications, vaccines, or foods that mandate avoidance versus preferences or mild intolerances, is suboptimal. The current systems are reactive instead of being proactive and frequently fail to communicate the appropriate course of action. This Position Statement of the American Academy of Allergy, Asthma and Immunology (AAAAI) advocates for a change in terminology. The section of the EHR currently labeled "allergies" should be renamed "alerts." The term "alert" accurately captures the purpose of this section without incorrectly assigning an allergic mechanism, and prioritizes easily understood and actionable labels. This change has the potential to simultaneously improve patient safety and care. This shift will be the first step in the transformation of the alerts section of the EHR. This document provides a framework for categorizing what should be included in this section. Enacting these changes will require EHR and clinical decision support vendors, healthcare and data standard regulators, allergists, and the larger health care community to work together to bring about these important advances.

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AAAAI 关于将电子健康记录过敏记录改为 "警报 "以生成易于理解和可操作的标签的立场声明。
过敏 "一词对于目前电子健康记录(EHRs)中过敏领域的绝大多数内容来说都是不准确的。虽然电子病历改变了健康信息的获取方式并简化了医疗服务的提供,但它在可靠地显示药物、疫苗或必须避免的食物与偏好或轻度不耐受食物方面的能力却不尽如人意。目前的系统是被动的,而不是主动的,经常无法传达适当的行动方案。美国过敏、哮喘和免疫学学会(AAAAI)的这份立场声明主张改变术语。电子病历中目前标注为 "过敏 "的部分应更名为 "警报"。警报 "一词准确地抓住了该部分的目的,而不会错误地指定过敏机制,并优先考虑易于理解和可操作的标签。这一改变有可能同时改善患者的安全和护理。这一转变将是电子病历警报部分转型的第一步。本文件提供了一个框架,用于对该部分应包含的内容进行分类。要实现这些改变,需要电子病历和临床决策支持供应商、医疗保健和数据标准监管机构、过敏症专家以及更广泛的医疗保健社区共同努力,才能实现这些重要的进步。
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来源期刊
CiteScore
11.10
自引率
9.60%
发文量
683
审稿时长
50 days
期刊介绍: JACI: In Practice is an official publication of the American Academy of Allergy, Asthma & Immunology (AAAAI). It is a companion title to The Journal of Allergy and Clinical Immunology, and it aims to provide timely clinical papers, case reports, and management recommendations to clinical allergists and other physicians dealing with allergic and immunologic diseases in their practice. The mission of JACI: In Practice is to offer valid and impactful information that supports evidence-based clinical decisions in the diagnosis and management of asthma, allergies, immunologic conditions, and related diseases. This journal publishes articles on various conditions treated by allergist-immunologists, including food allergy, respiratory disorders (such as asthma, rhinitis, nasal polyps, sinusitis, cough, ABPA, and hypersensitivity pneumonitis), drug allergy, insect sting allergy, anaphylaxis, dermatologic disorders (such as atopic dermatitis, contact dermatitis, urticaria, angioedema, and HAE), immunodeficiency, autoinflammatory syndromes, eosinophilic disorders, and mast cell disorders. The focus of the journal is on providing cutting-edge clinical information that practitioners can use in their everyday practice or to acquire new knowledge and skills for the benefit of their patients. However, mechanistic or translational studies without immediate or near future clinical relevance, as well as animal studies, are not within the scope of the journal.
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