Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States

Purpose: Women on combined hormonal contraception (CHC) who use electronic nicotine delivery systems (ENDS) may be vulnerable to adverse cardiovascular events. To date, no study has examined whether clinicians screen for ENDS use when prescribing CHC. Therefore, we investigated documentation of ENDS...

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Autores principales:	Joanna M. Theophilopoulos, Jennifer H. LeLaurin, Maribeth Williams, Melissa Bright, Lindsay A. Thompson, Ramzi G. Salloum
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Electronic cigarettes Vaping Hormonal contraception Electronic health record Medicine R
Acceso en línea:	https://doaj.org/article/f722b4771ddf436d8d47201a1e9b509c
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spelling	oai:doaj.org-article:f722b4771ddf436d8d47201a1e9b509c2021-11-14T04:32:28ZProvider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States2211-335510.1016/j.pmedr.2021.101632https://doaj.org/article/f722b4771ddf436d8d47201a1e9b509c2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2211335521003235https://doaj.org/toc/2211-3355Purpose: Women on combined hormonal contraception (CHC) who use electronic nicotine delivery systems (ENDS) may be vulnerable to adverse cardiovascular events. To date, no study has examined whether clinicians screen for ENDS use when prescribing CHC. Therefore, we investigated documentation of ENDS screening and counseling in the electronic health record (EHR) of women prescribed CHC. Methods: We conducted a retrospective EHR review and content analysis at an academic health center in the Southeastern United States. We randomly selected 500 records of female patients 12 years and older who had been prescribed contraception and had ENDS documented in their records identified via keyword match. Records prior to July 2020 were reviewed between June-September 2020. Results: Of the 500 patients, 245 (49%) were ENDS users and 227 (45.4%) were non-ENDS users. Among ENDS users, there were 82 contraception-related encounters with ENDS documentation. In 55 (67.1%) of these encounters, only ENDS use status was documented. The provider counseled against ENDS use in 17 (20.7%) records. Six (7.3%) notes documented provision of patient education materials instructing patients on contraception to refrain from using ENDS. Among non-ENDS users, there were 43 contraception-related encounters with ENDS documentation; 35 (81.4%) documented the patient did not use ENDS and 3 (7%) documented provision of patient education materials. Conclusion: ENDS use is under-documented in contraception-related encounters. Improvements in documentation may help assess long-term effects of concurrent ENDS and CHC use. These results illustrate the need to clarify EHR prompts and increase provider awareness to improve ENDS documentation.Joanna M. TheophilopoulosJennifer H. LeLaurinMaribeth WilliamsMelissa BrightLindsay A. ThompsonRamzi G. SalloumElsevierarticleElectronic cigarettesVapingHormonal contraceptionElectronic health recordMedicineRENPreventive Medicine Reports, Vol 24, Iss , Pp 101632- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Electronic cigarettes Vaping Hormonal contraception Electronic health record Medicine R
spellingShingle	Electronic cigarettes Vaping Hormonal contraception Electronic health record Medicine R Joanna M. Theophilopoulos Jennifer H. LeLaurin Maribeth Williams Melissa Bright Lindsay A. Thompson Ramzi G. Salloum Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
description	Purpose: Women on combined hormonal contraception (CHC) who use electronic nicotine delivery systems (ENDS) may be vulnerable to adverse cardiovascular events. To date, no study has examined whether clinicians screen for ENDS use when prescribing CHC. Therefore, we investigated documentation of ENDS screening and counseling in the electronic health record (EHR) of women prescribed CHC. Methods: We conducted a retrospective EHR review and content analysis at an academic health center in the Southeastern United States. We randomly selected 500 records of female patients 12 years and older who had been prescribed contraception and had ENDS documented in their records identified via keyword match. Records prior to July 2020 were reviewed between June-September 2020. Results: Of the 500 patients, 245 (49%) were ENDS users and 227 (45.4%) were non-ENDS users. Among ENDS users, there were 82 contraception-related encounters with ENDS documentation. In 55 (67.1%) of these encounters, only ENDS use status was documented. The provider counseled against ENDS use in 17 (20.7%) records. Six (7.3%) notes documented provision of patient education materials instructing patients on contraception to refrain from using ENDS. Among non-ENDS users, there were 43 contraception-related encounters with ENDS documentation; 35 (81.4%) documented the patient did not use ENDS and 3 (7%) documented provision of patient education materials. Conclusion: ENDS use is under-documented in contraception-related encounters. Improvements in documentation may help assess long-term effects of concurrent ENDS and CHC use. These results illustrate the need to clarify EHR prompts and increase provider awareness to improve ENDS documentation.
format	article
author	Joanna M. Theophilopoulos Jennifer H. LeLaurin Maribeth Williams Melissa Bright Lindsay A. Thompson Ramzi G. Salloum
author_facet	Joanna M. Theophilopoulos Jennifer H. LeLaurin Maribeth Williams Melissa Bright Lindsay A. Thompson Ramzi G. Salloum
author_sort	Joanna M. Theophilopoulos
title	Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
title_short	Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
title_full	Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
title_fullStr	Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
title_full_unstemmed	Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States
title_sort	provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the southeastern united states
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/f722b4771ddf436d8d47201a1e9b509c
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Provider documentation of electronic nicotine delivery systems use among patients prescribed contraception at an academic health center in the Southeastern United States

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