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Towards the Standardized Documentation of E-Cigarette Use in the Electronic Health Record for Population Health Surveillance and Research.

Winden TJ, Chen ES, Wang Y, Sarkar IN, Carter EW, Melton GB - AMIA Jt Summits Transl Sci Proc (2015)

Bottom Line: The debate regarding potential negative health effects of electronic nicotine delivery systems (ENDS), which include electronic cigarettes, has received much recent attention.Analysis of five years of progress notes and tobacco use comments revealed that ENDS use is documented at an increasing rate with variable associated information, most often consisting of the status, purpose, and side effects of ENDS use.These results highlight that improved and consistent EHR discrete data entry for ENDS with associated clinical standards for documentation and representation of potential exposures are needed for enabling effective population health surveillance and research.

View Article: PubMed Central - PubMed

Affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, MN ; Division of Applied Research, Allina Health, Minneapolis, MN.

ABSTRACT
The debate regarding potential negative health effects of electronic nicotine delivery systems (ENDS), which include electronic cigarettes, has received much recent attention. Currently, it is unknown whether ENDS pose a real health risk to users or those passively exposed to their vapor. With the increased use of these devices, the goal of this study was to examine if and how their use is being documented in the electronic health record (EHR) and the associated implications for clinical research. Analysis of five years of progress notes and tobacco use comments revealed that ENDS use is documented at an increasing rate with variable associated information, most often consisting of the status, purpose, and side effects of ENDS use. These results highlight that improved and consistent EHR discrete data entry for ENDS with associated clinical standards for documentation and representation of potential exposures are needed for enabling effective population health surveillance and research.

No MeSH data available.


Related in: MedlinePlus

Proposed Representation Model for ENDS Use. Arrows represent the broad categories from Table 2, rounded rectangles are elements within these categories, and rectangles include examples values that could be documented for each element.
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Related In: Results  -  Collection


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f1-2090443: Proposed Representation Model for ENDS Use. Arrows represent the broad categories from Table 2, rounded rectangles are elements within these categories, and rectangles include examples values that could be documented for each element.

Mentions: The note and comment review provided content to develop an initial model for guiding discrete data collection of ENDS use (Figure 1). This analysis revealed that providers not only document current or former use of these devices, but also information about the frequency, duration, type, side effects, ingredients and concentration of drug, and concurrent use of tobacco or other nicotine delivery methods or cessation drugs.


Towards the Standardized Documentation of E-Cigarette Use in the Electronic Health Record for Population Health Surveillance and Research.

Winden TJ, Chen ES, Wang Y, Sarkar IN, Carter EW, Melton GB - AMIA Jt Summits Transl Sci Proc (2015)

Proposed Representation Model for ENDS Use. Arrows represent the broad categories from Table 2, rounded rectangles are elements within these categories, and rectangles include examples values that could be documented for each element.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4525250&req=5

f1-2090443: Proposed Representation Model for ENDS Use. Arrows represent the broad categories from Table 2, rounded rectangles are elements within these categories, and rectangles include examples values that could be documented for each element.
Mentions: The note and comment review provided content to develop an initial model for guiding discrete data collection of ENDS use (Figure 1). This analysis revealed that providers not only document current or former use of these devices, but also information about the frequency, duration, type, side effects, ingredients and concentration of drug, and concurrent use of tobacco or other nicotine delivery methods or cessation drugs.

Bottom Line: The debate regarding potential negative health effects of electronic nicotine delivery systems (ENDS), which include electronic cigarettes, has received much recent attention.Analysis of five years of progress notes and tobacco use comments revealed that ENDS use is documented at an increasing rate with variable associated information, most often consisting of the status, purpose, and side effects of ENDS use.These results highlight that improved and consistent EHR discrete data entry for ENDS with associated clinical standards for documentation and representation of potential exposures are needed for enabling effective population health surveillance and research.

View Article: PubMed Central - PubMed

Affiliation: Institute for Health Informatics, University of Minnesota, Minneapolis, MN ; Division of Applied Research, Allina Health, Minneapolis, MN.

ABSTRACT
The debate regarding potential negative health effects of electronic nicotine delivery systems (ENDS), which include electronic cigarettes, has received much recent attention. Currently, it is unknown whether ENDS pose a real health risk to users or those passively exposed to their vapor. With the increased use of these devices, the goal of this study was to examine if and how their use is being documented in the electronic health record (EHR) and the associated implications for clinical research. Analysis of five years of progress notes and tobacco use comments revealed that ENDS use is documented at an increasing rate with variable associated information, most often consisting of the status, purpose, and side effects of ENDS use. These results highlight that improved and consistent EHR discrete data entry for ENDS with associated clinical standards for documentation and representation of potential exposures are needed for enabling effective population health surveillance and research.

No MeSH data available.


Related in: MedlinePlus