Analysis of allergy alerts within a computerized prescriber-order-entry system.
PURPOSE: Allergy alerts within a computerized prescriber-order-entry (CPOE) system were analyzed. METHODS: A retrospective analysis was performed to evaluate inpatient CPOE orders that triggered an allergy alert for one month in November 2007. Data were extracted from a computer-generated report to...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 66; no. 4; pp. 373 - 378 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
2/15/2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105451528&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105451528 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 2/15/2009 vid: 66 iid: 4 pid: 622 pub: Oxford University Press / USA artinfo: ui: 105451528 2010192787 10.2146/ajhp080328 NLM19202047 105451528 ppf: 373 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Analysis of allergy alerts within a computerized prescriber-order-entry system. aug: au: Hunteman L Ward L Read D Jolly M Heckman M affil: Mayo Clinic, Jacksonville, FL 32224, USA. hunteman.lori@mayo.edu sug: subj: Drug Hypersensitivity Drug Monitoring Evaluation Electronic Order Entry Academic Medical Centers Confidence Intervals Descriptive Statistics Documentation Evaluation Florida Record Review Retrospective Design Human ab: PURPOSE: Allergy alerts within a computerized prescriber-order-entry (CPOE) system were analyzed. METHODS: A retrospective analysis was performed to evaluate inpatient CPOE orders that triggered an allergy alert for one month in November 2007. Data were extracted from a computer-generated report to identify the total number of prescription orders and the number of orders triggering an allergy alert during the study time frame. When overriding an allergy alert from the CPOE system, prescribers had to choose one of three rationales: the benefit outweighs the risk, the patient previously tolerated the medication, and the medication is therapeutically appropriate. Data collected included the number of allergy alerts, allergy alert overrides, override rationale, and patients' demographic information. Descriptive statistics were used to summarize the results. RESULTS: Allergy alerts were triggered on 643 (1.3%) of the 49,887 total orders entered during the month (95% confidence interval [CI], 1.2-1.4%). Alerts were triggered on a total of 289 patients, with a mean of 2 orders triggering alerts per patient. The median age was 65 years old. The median hospital stay for patients with an order triggering an alert was three days. Overall, 625 of 643 alerts (97%) were overridden for rationales as following: the patient previously tolerated the medication (49%), the benefit outweighed the risk (29%), and the medication was therapeutically appropriate (24%), and a free text explanation (8%). CONCLUSION: While a small portion of prescription orders generated through a CPOE system triggered an allergy alert, most of the allergy alerts were overridden by prescribers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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