Title
Research Paper: Parents as Partners in Obtaining the Medication History
Abstract
Objective: Patient-centered information management may overcome barriers that impede high-quality, safe care in the emergency department (ED). The utility of parents' report of medication data via a multimedia, touch screen interface, the asthma kiosk, was investigated. Our specific aims were (1) to estimate the validity of parents' electronically entered medication history for asthma and (2) to compare the parents' kiosk entries regarding medications to the documentation of ED physicians and nurses. Methods: We enrolled a cohort of parents to use the asthma kiosk and tested the validity of this communication channel for medication data specific to pediatric asthma. Parents' data provided via the kiosk during the ED encounter and the documentation of ED nurses and physicians were compared with a telephone-based interview with the parent after discharge that reviewed all asthma-specific medications physically present in the home. Treating clinicians in the ED were blinded to the parents' kiosk entries. Results: Sixty-six parents were enrolled and 49 of 66 (74.2%) completed the gold standard interview. When analyzed at the level of individual medications, the validity of parental report was 81% for medication name, 79% for route of delivery, 66% for the form of the medication, and 60% for dose. Parents' report improved on the validity of documentation by physicians across all medication details save for medication name. Parents' report was more valid than nursing documentation at triage for all medication details. Conclusion: Parents can provide an independent source of medication data that improves on current documentation for key variables that impact quality and safety in emergency asthma care.
Year
DOI
Venue
2005
10.1197/jamia.M1713
Journal of the American Medical Informatics Association
Keywords
DocType
Volume
communication channels,medical history,gold standard,information management
Journal
12
Issue
ISSN
Citations 
3
1067-5027
0
PageRank 
References 
Authors
0.34
0
3
Name
Order
Citations
PageRank
Stephen C. Porter143.01
Isaac S. Kohane21164223.26
Donald A. Goldmann301.69