Evaluation of clinical rules in a standalone pharmacy based clinical decision support system for hospitalized and nursing home patients
作者： Hugo A.J.M. de Wit , Carlota Mestres Gonzalvo , Jenny Cardenas , Hieronymus J. Derijks , Rob Janknegt
DOI: 10.1016/J.IJMEDINF.2015.02.004
关键词:
摘要: Abstract Objectives To improve the current standalone pharmacy clinical decision support system (CDSS) by identifying and quantifying benefits limitations of system. Methods Alerts handling executed rules were extracted from CDSS period September 2011 to December 2011. The number rule alerts, actions on reason why alerts classified as not relevant analyzed. where considered clinically when pharmacist needed contact physician. Results 4065 have been separated into: 1137 (28.0%) new 2797 (68.8%) repeat 131 (3.2%) double alerts. When analyzed, only 3.6% relevant. Reasons be were: (a) dosage was correct or already adjusted, (b) drug (temporarily) stopped (c) monitored laboratory value had reverted within reference limits. reasons for no action linked three categorical used system: ‘algorithm alert criteria’, ‘CDSS optimization’, ‘data delivery’. Conclusion This study highlighted a ways in which could improved. These different aspects identified important developing an efficient CDSS.
core.ac.uk
narcis.nl参考文章(24)
Elizabeth E Roughead, Andrew L Gilbert, Lloyd N Sansom, John G Primrose, Drug‐related hospital admissions: a review of Australian studies published 1988‐1996 The Medical Journal of Australia. ,vol. 168, pp. 405- 408 ,(1998) , 10.5694/J.1326-5377.1998.TB138996.X
Mirjam K. Rommers, Irene M. Teepe-Twiss, Henk-Jan Guchelaar, A Computerized Adverse Drug Event Alerting System Using Clinical Rules Drug Safety. ,vol. 34, pp. 233- 242 ,(2011) , 10.2165/11536500-000000000-00000
R. Villanueva, K. M. Knudson, E. M. Harvey, J. M. Langle, W. Paul, M. A. Del Beccaro, Decision Support Alerts for Medication Ordering in a Computerized Provider Order Entry (CPOE) System Applied Clinical Informatics. ,vol. 1, pp. 346- 362 ,(2010) , 10.4338/ACI-2009-11-RA-0014
David M Rind, Charles Safran, Russell S Phillips, Qiang Wang, David R Calkins, Thomas L Delbanco, Howard L Bleich, Warner V Slack, Effect of Computer-Based Alerts on the Treatment and Outcomes of Hospitalized Patients Archives of Internal Medicine. ,vol. 154, pp. 1511- 1517 ,(1994) , 10.1001/ARCHINTE.1994.00420130107014
Mariann Fossum, Gregory L. Alexander, Margareta Ehnfors, Anna Ehrenberg, Effects of a computerized decision support system on pressure ulcers and malnutrition in nursing homes for the elderly International Journal of Medical Informatics. ,vol. 80, pp. 607- 617 ,(2011) , 10.1016/J.IJMEDINF.2011.06.009
M Van den Boogaard, P Pickkers, AJC Slooter, MA Kuiper, PE Spronk, PHJ Van Der Voort, JG Van Der Hoeven, R Donders, Theo van Achterberg, L Schoonhoven, Development and validation of PRE-DELIRIC (PREdiction of DELIRium in ICu patients) delirium prediction model for intensive care patients: observational multicentre study BMJ. ,vol. 344, ,(2012) , 10.1136/BMJ.E420
Jan Horsky, Shobha Phansalkar, Amrita Desai, Douglas Bell, Blackford Middleton, Design of decision support interventions for medication prescribing. International Journal of Medical Informatics. ,vol. 82, pp. 492- 503 ,(2013) , 10.1016/J.IJMEDINF.2013.02.003
Saeid Eslami, Nicolette F. de Keizer, Ameen Abu-Hanna, The impact of computerized physician medication order entry in hospitalized patients--a systematic review. International Journal of Medical Informatics. ,vol. 77, pp. 365- 376 ,(2008) , 10.1016/J.IJMEDINF.2007.10.001
Sallie-Anne Pearson, Annette Moxey, Jane Robertson, Isla Hains, Margaret Williamson, James Reeve, David Newby, Do computerised clinical decision support systems for prescribing change practice? A systematic review of the literature (1990-2007). BMC Health Services Research. ,vol. 9, pp. 154- 154 ,(2009) , 10.1186/1472-6963-9-154
Javier P. Gisbert, Fernando Gomolln, Thiopurine-Induced Myelotoxicity in Patients With Inflammatory Bowel Disease: A Review The American Journal of Gastroenterology. ,vol. 103, pp. 1783- 1800 ,(2008) , 10.1111/J.1572-0241.2008.01848.X