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Poor prescription documentation in EHR jeopardizes patient safety at VA hospital

from FierceEMR

Electronic health record use continues to plague the Veterans' Administration, with incomplete EHR documentation of opioid prescriptions leading to patient misuse and hospitalizations at San Francisco VA Medical Center, according to a recently published report by the U.S. Department of Veterans' Affairs Office of Inspector General (OIG). OIG, which conducted its inspection of the facility's clinic after receiving a complaint regarding improper opioid prescription renewal practices, found that providers were not routinely documenting patients' opioid prescription renewal problems in the EHR, despite the fact that they're supposed to assess patients' adherence of proper use of opioids and monitor for misuse, abuse or addiction. more

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