UNASSIGNED: 309 Background: The Pharmacy and Therapeutics committee at a regional @entity5 center is responsible to report and trend existing @entity137 . The electronic health record did not have an option to document the history of an event or have an alert function if a medication was re-ordered. The frequency of documented @entity137 did not correlate to what was being observed on the units with the use of a paper document. METHODS: InAugust 2010 a Lean Six Sigma project was initiated to improve adverse drug reaction reporting. An adverse drug reaction document along with standard work instructions was completed by March 2011. A report was built in the electronic health record and a computer based learning module was created and rolled out to clinical staff by October 2011. RESULTS: The turn-around time in days to document an adverse drug reaction in the @entity1 chart decreased from 6.8 days to 0.7 days. The documented @entity137 increased by 37%; verified by the use of supportive medications. CONCLUSIONS: The root cause for under-reporting was attributed to lack of knowledge, process, and automation. The history of an adverse drug reaction can now be viewed and an automatic alert is produced requiring physician acknowledgement decreasing the chance of repeated discomfort or harm to the @entity1 . Adverse drug reaction documentation can be retrieved within 24 hours, analyzed, trended, and used for educational purposes to improve @entity1 safety. [Table: see text].

The role of electronic records in reporting XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity137 :: ('MESH:D064420', 'Disease') :: ['adverse drug reactions']
@entity137 :: (MESH:D064420,Disease) :: ['adverse drug reactions']
