Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: the Patient Gateway medications module Informatics in Primary Care 2008
Outline • Introduction • Study setting • Discussion • Long-term evaluation plan • Conclusion
Introduction • The causes of ambulatory ADEs and undertreatment • Medication discrepancies • Non-adherence • Inadequate monitoring and follow-up • A Portal linked to an EHR has the potential to help address many medication safety and quality issues.
The type, duration and confidence in the symptom being related to that medication are elicited.
For physician view • Medications Module fit into workflow. • Concise overview of the information. • Patient’s medication journal is displayed in medications screen. • Medication Module also allows for verification of allergy information.
Discussion • 20% of eligible patients consented to be in the study. • Users tended to be white and less impoverished • Important lessons • Mix of free text, structured data fields within patient interface. • Integrating the application with clinicians’ workflow. • Document medication and allergy within one application.
Long-term evaluation plan • Studying the impact of the Medications Module on patient outcomes. • Clinical outcomes to be evaluated include • ADEs • Medication list accuracy • Self-reported medication adherence
Conclusion • Integration of this kind of intervention into a patient portal represents a novel and potentially powerful way to reduce ADEs and medication discrepancies.