Comparison of a basic and an advanced pharmacotherapy-related clinical decision support system in a hospital care setting in the Netherlands
| Autor: | Willemijn L. Eppenga, Peter A. G. M. De Smet, Michel Wensing, Hieronymus J. Derijks, Walter A J J Hermens, Jean M. H. Conemans |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Pediatrics Medication Systems Hospital MEDLINE Pharmacist Implementation Science [NCEBP 3] Health Informatics Observation DCN PAC - Perception action and control Research and Applications Clinical decision support system Medical Order Entry Systems Pharmacotherapy medicine Humans Clinical significance Dosing Prospective Studies Prospective cohort study Netherlands business.industry Decision Support Systems Clinical Clinical Pharmacy Information Systems Emergency medicine Observational study business Pharmacy Service Hospital Poverty-related infectious diseases Infectious diseases and international health [N4i 3] |
| Zdroj: | Jamia. Journal of the American Medical Informatics Association, 19, 1, pp. 66-71 Jamia. Journal of the American Medical Informatics Association, 19, 66-71 |
| ISSN: | 1067-5027 |
| Popis: | Item does not contain fulltext OBJECTIVE To compare the clinical relevance of medication alerts in a basic and in an advanced clinical decision support system (CDSS). DESIGN: A prospective observational study. MATERIALS AND METHODS: We collected 4023 medication orders in a hospital for independent evaluation in two pharmacotherapy-related decision support systems. Only the more advanced system considered patient characteristics and laboratory test results in its algorithms. Two pharmacists assessed the clinical relevance of the medication alerts produced. The alert was considered relevant if the pharmacist would undertake action (eg, contact the physician or the nurse). The primary analysis concerned the positive predictive value (PPV) for clinically relevant medication alerts in both systems. RESULTS: The PPV was significantly higher in the advanced system (5.8% vs 17.0%; p |
| Databáze: | OpenAIRE |
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