Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence

Thomas S Bacon, Kenneth C Fan, Manishi A Desai Department of Ophthalmology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA Purpose: To evaluate consistency in documentation of glaucoma medications in the electronic medical record and identify which regimen pati...

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Autores principales:	Bacon TS, Fan KC, Desai MA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Glaucoma electronic medical record and medication reconciliation Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5367589a0be044e1b7d09420fac7ee1f
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spelling	oai:doaj.org-article:5367589a0be044e1b7d09420fac7ee1f2021-12-02T00:56:19ZElectronic medical record and glaucoma medications: connecting the medication reconciliation with adherence1177-5483https://doaj.org/article/5367589a0be044e1b7d09420fac7ee1f2016-01-01T00:00:00Zhttps://www.dovepress.com/electronic-medical-record-and-glaucoma-medications-connecting-the-medi-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Thomas S Bacon, Kenneth C Fan, Manishi A Desai Department of Ophthalmology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA Purpose: To evaluate consistency in documentation of glaucoma medications in the electronic medical record and identify which regimen patients adhere to when inconsistencies exist. Factors contributing to medication nonadherence are also explored.Methods: Retrospective chart review of medication adherence encompassing 200 patients from three glaucoma physicians at a tertiary referral center over a 1-month period. Adherence was determined by the consistency between a patients stated medication regimen and either the active medication list in the electronic medical record, or the physicians planned medication regimen in the preceding clinic visit. Patient charts were also reviewed for patient sex, age, primary language, race, and total number of medications.Results: A total of 160 charts showed consistency in documentation between the physician note and electronic medication reconciliation. Of those patients, 83.1% reported adherence with their glaucoma medication schedule. When there was a discrepancy in documentation (40 charts), 72.5% patients followed the physician-stated regimen vs 20% who followed neither vs 7.5% who followed the medical record (P<0.01). No difference in adherence was observed based on sex (P=0.912) or total number of medications taken (P=0.242). Language, both English- (P=0.075) and Haitian (P=0.10) -speaking populations, as well as race, Caucasian (P=0.31), African-American (P=0.54), and Hispanic (P=0.58), had no impact on medication adherence. Patients over 80 years of age were more nonadherent as compared to other decades (P=0.04).Conclusion: Inconsistent documentation between the electronic medical record physician note and medication regimen may contribute to patient medication nonadherence. Patients over 80 years of age were associated with higher rates of nonadherence, while sex, total number of medications, race, and language had no interaction with medication adherence.Keywords: glaucoma, electronic medical record, medication reconciliation, demographicsBacon TSFan KCDesai MADove Medical PressarticleGlaucomaelectronic medical recordand medication reconciliationOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2016, Iss Issue 1, Pp 221-225 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Glaucoma electronic medical record and medication reconciliation Ophthalmology RE1-994
spellingShingle	Glaucoma electronic medical record and medication reconciliation Ophthalmology RE1-994 Bacon TS Fan KC Desai MA Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
description	Thomas S Bacon, Kenneth C Fan, Manishi A Desai Department of Ophthalmology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA Purpose: To evaluate consistency in documentation of glaucoma medications in the electronic medical record and identify which regimen patients adhere to when inconsistencies exist. Factors contributing to medication nonadherence are also explored.Methods: Retrospective chart review of medication adherence encompassing 200 patients from three glaucoma physicians at a tertiary referral center over a 1-month period. Adherence was determined by the consistency between a patients stated medication regimen and either the active medication list in the electronic medical record, or the physicians planned medication regimen in the preceding clinic visit. Patient charts were also reviewed for patient sex, age, primary language, race, and total number of medications.Results: A total of 160 charts showed consistency in documentation between the physician note and electronic medication reconciliation. Of those patients, 83.1% reported adherence with their glaucoma medication schedule. When there was a discrepancy in documentation (40 charts), 72.5% patients followed the physician-stated regimen vs 20% who followed neither vs 7.5% who followed the medical record (P<0.01). No difference in adherence was observed based on sex (P=0.912) or total number of medications taken (P=0.242). Language, both English- (P=0.075) and Haitian (P=0.10) -speaking populations, as well as race, Caucasian (P=0.31), African-American (P=0.54), and Hispanic (P=0.58), had no impact on medication adherence. Patients over 80 years of age were more nonadherent as compared to other decades (P=0.04).Conclusion: Inconsistent documentation between the electronic medical record physician note and medication regimen may contribute to patient medication nonadherence. Patients over 80 years of age were associated with higher rates of nonadherence, while sex, total number of medications, race, and language had no interaction with medication adherence.Keywords: glaucoma, electronic medical record, medication reconciliation, demographics
format	article
author	Bacon TS Fan KC Desai MA
author_facet	Bacon TS Fan KC Desai MA
author_sort	Bacon TS
title	Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
title_short	Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
title_full	Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
title_fullStr	Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
title_full_unstemmed	Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
title_sort	electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/5367589a0be044e1b7d09420fac7ee1f
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Electronic medical record and glaucoma medications: connecting the medication reconciliation with adherence

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