Computerized pharmacy surveillance and alert system for drug-related problems.
What is known and objective Because of the impact of drug-related problems ( DRPs) on morbidity and mortality, there is a need for computerized strategies to increase drug safety. The detection and identification of the causes of potential DRPs can be facilitated by the incorporation of a pharmacy w...
| Publicado en: | Journal of Clinical Pharmacy & Therapeutics Vol. 42; no. 2; pp. 201 - 209 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Apr2017
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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=121542357&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 121542357 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02694727 EV4 jtl: Journal of Clinical Pharmacy & Therapeutics issn: 02694727 maglogo: Y pubinfo: dt: Apr2017 vid: 42 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 121542357 121542357 121542357 10.1111/jcpt.12495 121542357 ppf: 201 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Computerized pharmacy surveillance and alert system for drug-related problems. aug: au: Ferrández, O. Urbina, O. Grau, S. Mateu‐de‐Antonio, J. Marin‐Casino, M. Portabella, J. Mojal, S. Riu, M. Salas, E. affil: Services of Hospital Pharmacy, Hospital Universitari del Mar, Barcelona Spain sug: subj: Pharmacy Service Prescriptions, Drug Medication Errors Prevention and Control Electronic Order Entry Pharmacovigilance Methods Decision Support Systems, Clinical Methods Clinical Pharmacy Information Systems Patient Safety Human Inpatients Drug Interactions Electronic Health Records Academic Medical Centers Descriptive Statistics Data Analysis Software Spearman's Rank Correlation Coefficient Drugs, Prescription Classification Drugs, Prescription Administration and Dosage Male Female Male Female ab: What is known and objective Because of the impact of drug-related problems ( DRPs) on morbidity and mortality, there is a need for computerized strategies to increase drug safety. The detection and identification of the causes of potential DRPs can be facilitated by the incorporation of a pharmacy warning system ( PWS) in the computerized prescriber order entry ( CPOE) and its application in the routine validation of inpatient drug therapy. A limited number of studies have evaluated a clinical decision support system to monitor drug treatment. Most of these applications have utilized a small range of drugs with alerts and/or types of alert. The objective of this study was to describe the implementation of a PWS integrated in the electronic medical record ( EMR). Methods The PWS was developed in 2003-2004. Pharmacological information to generate drug alerts was entered on demographic data, drug dosage, laboratory tests related to the prescribed drug and drug combinations (interactions, duplications and necessary combinations). The PWS was applied in the prescription reviews conducted in patients admitted to the hospital in 2012. Results and discussion Information on 83% of the drugs included in the pharmacopeia was introduced into the PWS, allowing detection of 2808 potential DRPs, representing 79·1% of all potential DRPs detected during the study period. Twenty per cent of PWS DRPs were clinically relevant, requiring pharmacist intervention. What is new and conclusion The PWS detected most potential DRPs, thus increasing inpatient safety. The detection ability of the PWS was higher than that reported for other tools described in the literature. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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