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薬物の有害事象による怪我を防ぐためのコンピュータ警報システム:地域教育病院での開発と評価
R A Raschke1, B Gollihare, T A Wunderlich
1Good Samaritan Regional Medical Center, Phoenix, Ariz 85006, USA. robertr@samaritan.edu
JAMA
|October 30, 1998
まとめ
コンピューターによる警報システムは,入院患者における薬物有害事象 (ADEs) を予防する機会を成功裏に特定しました. このシステムは,病院情報システムと統合され,臨床医がリスクのある状況にフラグを付けることで,潜在的な害を回避するのに役立ちます.
科学分野:
- 医療情報工学 医療情報工学
- 患者の安全性について
- 臨床的意思決定支援について
背景:
- 薬剤による有害事象 (ADEs) は,入院患者におけるイアトロゲン性損傷の主な原因である.
- 医師の命令書作成中の情報ギャップは,ADEsに大きく寄与します.
研究 の 目的:
- ADEを防止するためのコンピュータ警報システムを開発し,評価する.
- 処方誤りを修正し,重篤な害が発生する前にADEを検出します.
主な方法:
- 650ベッドのコミュニティの教科病院で実施された将来のケースシリーズ.
- 病院の情報システムは37の薬物特異的なADEに対する警報を生成するようにプログラムされました.
- 医者の通知システムは,警告が伝達されることを保証しました.
主要な成果:
- 警報システムは1116件の警報を発生させ,596件 (53%) が真正だった.
- 潜在的ADEは1000人の入院者あたり64人の割合で特定されました.
- 真の陽性警報の44%は,最初は医師によって認識されませんでした.
結論:
- 病院情報システムは,ADEsを予防するために効果的に利用できます.
- 臨床医は,これらのシステムを活用して,さまざまなADEにおけるリスクを特定し,軽減することができます.
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