Question: Medication reconciliation is vital for patient safety. What role can an electronic health record provide to help with this —specifically clinical decision support tools (CDS)? Do you expect the EHR to alert you on any of this patient’s medications/ diagnoses? If so, which ones and why?
case study: A 58-year-old female patient is complaining of increased gastric distress over the past 4 weeks. One week ago, she had an abscessed tooth and has been taking 600 mg of ibuprofen 3 times a day for the discomfort. She is also self-treating with Maalox but only is giving her short-term relief. She has recently started to have a cough that wakes her up at night and is worse if she eats right before bedtime. She is taking verapamil and HRT (hormone replacement therapy). She does not drink alcohol, but she smokes a pack a day for the past 15 years. She does not exercise but helps her husband work “the farm”. She tells you that she is under a lot of stress because of financial concerns and the possibility they could lose the farm. She is 63″, weighs 184lbs and her BMI is 29.7
