Implementing a commercial rule base as a medication order safety net
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Richard M Reichley1, Ervina Resetar, Joshua Doherty
1Center for Healthcare Quality Effectiveness, BJC Healthcare and the Department of Medicine, Washington Univ School of Medicine, St. Louis, MO, USA.
Abstract:
A commercial rule base was used to identify drug orders exceeding standard dosage limits at a university hospital. Initially, there were substantial numbers of clinically insignificant alerts. A method for altering the commercial rule base will be implemented to increase rule specificity for problematic drugs. With minor modifications, commercial rule bases can be used to rapidly create a safety net that screens drug orders for excessive dosages, while preserving the rule architecture for more finely tuned clinical decision support.
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