The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Implications for Safety Net Care for Diverse Populations.

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Annotation Summary

Term Occurence Count Dictionary
hypoglycemia 1 endocrinologydiseases
metformin 2 endocrinologydiseasesdrugs
pioglitazone 4 endocrinologydiseasesdrugs
Insulin 1 endocrinologydiseasesdrugs
hyperlipidemia 1 endocrinologydiseases

Graph of close proximity drug and disease terms (within 200 characters).

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Select Drug Character Offset Drug Term Instance
Insulin 10997 confusion and error when switching formulations is required [[45], [46]].3.2. Errors Associated with Insulin Electronic PrescribingThe Institute for Safe Medication Practices classifies insulin as a high alert
metformin 2378 and legs felt swollen. So, Dr. P counseled Mrs. D about adding a short-acting mealtime insulin to her metformin and glargine regimen. Using the EHR electronic prescribing feature, Dr. P tried to submit a prescription
metformin 21664 brought Mrs. D in for a visit and counseled Mrs. D about adding a short-acting mealtime insulin to her metformin and glargine regimen. Dr. P searches the EHR RxNorm database for regular insulin and chooses a version
pioglitazone 2175 in the pharmacy claims section of the electronic health record (EHR) that Mrs. D has not filled her pioglitazone in 6 months. Mrs. D reluctantly admits she did not like the medication because her face and legs felt
pioglitazone 3220 bedtime because the bottle said “twice daily.” Finally, Mrs. D showed a newly dispensed bottle of pioglitazone and said she was confused about whether she was supposed to restart that medication.Rapid deployment
pioglitazone 21491 Her community pharmacist sends a message to Dr. P stating that Mrs. D was asking her questions about pioglitazone side effects, reporting swollen face and legs. So, Dr. P brought Mrs. D in for a visit and counseled
pioglitazone 22153 P to fill in the correct number of units for each dose. Dr. P also selects a “STOP” message for pioglitazone , which also allows her to record this adverse reaction automatically in Mrs. D's charts in both Dr.
Select Disease Character Offset Disease Term Instance
hyperlipidemia 7095 medications dispensed after EHR discontinuation, seven were commonly used in diabetes, hypertension, and hyperlipidemia [[36]]. Overall, whether EHR platforms mitigate error may depend on the specific implementation within
hypoglycemia 13249 particular risks with high alert medications such as insulin, where the risk of severe ADE (including hypoglycemia and death) with improper timing of insulin administration is much greater than for most medications.

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