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Journal of Diabetes Research - Volume 2017 2017, Article ID 8983237, 7 pages - https:-doi.org-10.1155-2017-8983237

Review Article

Division of General Internal Medicine, Department of Medicine, UCSF Center for Vulnerable Populations, University of California, San Francisco, 1001 Potrero Avenue, Box 1364, San Francisco, CA 94143, USA

San Francisco Department of Public Health, 1001 Potrero Avenue, San Francisco, CA 94110, USA

Laguna Honda Hospital and Rehabilitation Center, 375 Laguna Honda Blvd, San Francisco, CA 94116, USA

Division of Endocrinology, Department of Medicine, University of California, San Francisco, 1001 Potrero Avenue, Box 0862, San Francisco, CA 94143, USA

Correspondence should be addressed to Neda Ratanawongsa

Received 2 August 2016; Accepted 4 January 2017; Published 18 January 2017

Academic Editor: Andrea Flex

Copyright © 2017 Neda Ratanawongsa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.





Autor: Neda Ratanawongsa, Lenny L. S. Chan, Michelle M. Fouts, and Elizabeth J. Murphy

Fuente: https://www.hindawi.com/



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