{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T13:44:28Z","timestamp":1788270268653,"version":"build-2803163510"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T00:00:00Z","timestamp":1683763200000},"content-version":"vor","delay-in-days":35,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Institutes on Aging","award":["1K08AG071794"],"award-info":[{"award-number":["1K08AG071794"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>As the recognition of team-based care grows and pharmacists increase in patient care interventions, it is important that tools to track clinical services are easily accessible and well-integrated into workflow for all providers. We describe and discuss feasibility and implementation of data tools in an electronic health record to evaluate a pragmatic clinical pharmacy intervention focused on deprescribing in aged adults delivered at multiple clinical sites in a large academic health system. Of the data tools utilized, we were able to demonstrate clear documentation frequency of certain phrases during the intervention period for 574 patients receiving opioids and 537 patients receiving benzodiazepines. Although clinical decision support and documentation tools exist, they are underutilized or cumbersome to integrate into primary health care and strategies, such as employed, are a solution. This communication incorporates the importance of clinical pharmacy information systems in research design.<\/jats:p>","DOI":"10.1093\/jamiaopen\/ooad034","type":"journal-article","created":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T20:25:36Z","timestamp":1683836736000},"source":"Crossref","is-referenced-by-count":5,"title":["An EHR-based method to structure, standardize, and automate clinical documentation tasks for pharmacists to generate extractable outcomes"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1961-6588","authenticated-orcid":false,"given":"Kimberly A","family":"Sanders","sequence":"first","affiliation":[{"name":"Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Wolverton","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, UNC Health , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marina","family":"Stamopoulos","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, UNC Health , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rada","family":"Zunich","sequence":"additional","affiliation":[{"name":"Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Niznik","sequence":"additional","affiliation":[{"name":"Division of Geriatrics and Center for Aging and Health, Division of Pharmaceutical Outcomes and Policy, UNC School of Medicine , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefanie P","family":"Ferreri","sequence":"additional","affiliation":[{"name":"Division of Practice Advancement and Clinical Education, UNC Eshelman School of Pharmacy , Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,11]]},"reference":[{"issue":"1","key":"2023051120252953700_ooad034-B1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1093\/jamia\/ocw044","article-title":"The pharmacist and the EHR","volume":"24","author":"Nelson","year":"2017","journal-title":"J Am Med Inform Assoc"},{"issue":"9","key":"2023051120252953700_ooad034-B2","doi-asserted-by":"crossref","first-page":"e015471","DOI":"10.1136\/bmjopen-2016-015471","article-title":"Qualitative meta-synthesis of barriers and facilitators that influence the implementation of community pharmacy services: perspectives of patients, nurses and general medical practitioners [published correction appears in BMJ Open. 2018 Mar 8;8(3):e015471corr1]","volume":"7","author":"Hossain","year":"2017","journal-title":"BMJ Open"},{"issue":"4","key":"2023051120252953700_ooad034-B3","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1177\/17151635211017591","article-title":"Team-based care: a clinical pharmacist and family physicians","volume":"154","author":"Blain","year":"2021","journal-title":"Can Pharm J (Ott)"},{"key":"2023051120252953700_ooad034-B4","doi-asserted-by":"crossref","first-page":"760662","DOI":"10.3389\/fcvm.2021.760662","article-title":"Team-based care for improving hypertension management: a pragmatic randomized controlled trial","volume":"8","author":"Santschi","year":"2021","journal-title":"Front Cardiovasc Med"},{"issue":"7","key":"2023051120252953700_ooad034-B5","first-page":"40","article-title":"Hospital pharmacy in the multidisciplinary team of COVID inpatient units. La farmacia hospitalaria en el equipo multidisciplinar de las unidades COVID de hospitalizaci\u00f3n","volume":"44","author":"Gil-Navarro","year":"2020","journal-title":"Farm Hosp"},{"key":"2023051120252953700_ooad034-B6","volume-title":"Epic: Software","author":"Epic Systems"},{"issue":"4","key":"2023051120252953700_ooad034-B7","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1197\/jamia.M2501","article-title":"\u201cSmart forms\u201d in an electronic medical record: documentation-based clinical decision support to improve disease management","volume":"15","author":"Schnipper","year":"2008","journal-title":"J Am Med Inform Assoc"},{"key":"2023051120252953700_ooad034-B8","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jcrc.2019.09.016","article-title":"Integrating a safety smart list into the electronic health record decreases intensive care unit length of stay and cost","volume":"57","author":"Lemkin","year":"2020","journal-title":"J Crit Care"},{"issue":"2","key":"2023051120252953700_ooad034-B9","doi-asserted-by":"crossref","first-page":"e260","DOI":"10.1097\/pq9.0000000000000260","article-title":"Improving disposition decision-making for pediatric diabetic ketoacidosis: a quality improvement study","volume":"5","author":"Kaushal","year":"2020","journal-title":"Pediatr Qual Saf"},{"issue":"5","key":"2023051120252953700_ooad034-B10","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.explore.2020.06.002","article-title":"Integrative medicine smart phrase pilot study: Evaluating an EHR tool to improve providers\u2019 attitudes, knowledge and use of herbal and dietary supplements","volume":"17","author":"Jyung","year":"2021","journal-title":"Explore (NY)"},{"issue":"8","key":"2023051120252953700_ooad034-B11","first-page":"817","article-title":"Evaluation of the role and impact of ambulatory clinical pharmacists in an academic comprehensive cancer center","volume":"11","author":"Meleis","year":"2020","journal-title":"J Adv Pract Oncol"},{"issue":"1","key":"2023051120252953700_ooad034-B12","doi-asserted-by":"crossref","first-page":"8","DOI":"10.37765\/ajac.2020.88356","article-title":"Implementation of pharmacist-driven comprehensive medication management as part of an interdisciplinary team in primary care physicians\u2019 offices","volume":"8","author":"Hatfield Sapp","year":"2020","journal-title":"Am J Account Care"},{"issue":"5","key":"2023051120252953700_ooad034-B13","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1177\/0018578718791509","article-title":"A retrospective analysis of adherence to risk evaluation and mitigation strategies requirements for pulmonary arterial hypertension drugs","volume":"54","author":"Prokes","year":"2019","journal-title":"Hosp Pharm"},{"issue":"4","key":"2023051120252953700_ooad034-B14","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1177\/0897190018761412","article-title":"A pharmacy-based electronic handoff tool to reduce discharge prescribing of atypical antipsychotics initiated in the intensive care unit: a quality improvement initiative","volume":"32","author":"Kram","year":"2019","journal-title":"J Pharm Pract"},{"issue":"1","key":"2023051120252953700_ooad034-B15","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1186\/s13063-022-06164-5","article-title":"A deprescribing medication program to evaluate falls in older adults: methods for a randomized pragmatic clinical trial","volume":"23","author":"Niznik","year":"2022","journal-title":"Trials"}],"container-title":["JAMIA Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jamiaopen\/article-pdf\/6\/2\/ooad034\/50284903\/ooad034.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jamiaopen\/article-pdf\/6\/2\/ooad034\/50284903\/ooad034.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,11]],"date-time":"2023-05-11T20:25:56Z","timestamp":1683836756000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jamiaopen\/article\/doi\/10.1093\/jamiaopen\/ooad034\/7160378"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,6]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,4,6]]}},"URL":"https:\/\/doi.org\/10.1093\/jamiaopen\/ooad034","relation":{},"ISSN":["2574-2531"],"issn-type":[{"value":"2574-2531","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,7,1]]},"published":{"date-parts":[[2023,4,6]]},"article-number":"ooad034"}}