Nucleoside reverse-transcriptase inhibitor dosing errors in an outpatient HIV clinic in the electronic medical record era
Willig, James H. ; Westfall, Andrew O. ; Allison, Jeroan J. ; Van Wagoner, Nicholas ; Chang, Pei-Wen ; Raper, James L ; Saag, Michael S. ; Mugavero, Michael J.
Citations
Student Authors
Faculty Advisor
Academic Program
UMass Chan Affiliations
Document Type
Publication Date
Keywords
Age Factors
Cohort Studies
Didanosine
Drug Combinations
*Drug Prescriptions
Ethnic Groups
Female
HIV Infections
Hospitals, University
Humans
Internship and Residency
Kidney Failure, Chronic
Male
Medical Audit
Medical Records Systems, Computerized
data
Medication Errors
Nurse Practitioners
Outpatient Clinics, Hospital
Practice Guidelines as Topic
Reverse Transcriptase Inhibitors
Bioinformatics
Biostatistics
Epidemiology
Health Services Research
Subject Area
Embargo Expiration Date
Link to Full Text
Abstract
Information on antiretroviral dosing errors among health care providers for outpatient human immunodeficiency virus (HIV)-infected patients is lacking. We evaluated factors associated with nucleoside reverse-transcriptase inhibitor dosing errors in a university-based HIV clinic using an electronic medical record. Overall, older age, minority race or ethnicity, and didanosine use were related to such errors. Impaired renal function was more common in older patients and racial or ethnic minorities and, in conjunction with fixed-dose combination drugs, contributed to the higher rates of errors in nucleoside reverse-transcriptase inhibitor dosing. Understanding the factors related to nucleoside reverse-transcriptase inhibitor dosing errors is an important step in the building of preventive tools.
Source
Clin Infect Dis. 2007 Sep 1;45(5):658-61. Epub 2007 Jul 13. Link to article on publisher's site