电子健康记录的评估 药物相互作用定制编辑器 (DICE)
Andrew Romero1, Ainhoa Gomez-Lumbreras2, Lorenzo Villa-Zapata3
1Department of Pharmacy, Tucson Medical Center, Tucson, AZ, USA.
概括
通过DICE工具定制药物相互作用 (DDI) 警报,可以减少警报疲劳. 这种原型显示了通过过基于各种数据元素的DDI警告来提高药物安全的潜力.
科学领域:
- 医疗信息学 医疗信息学
- 药理学 药理学是指药理学的学科.
- 患者安全 患者安全
背景情况:
- 电子健康记录 (EHR) 中的药物相互作用 (DDI) 警告往往缺乏具体性,导致警报疲劳.
- 医疗保健系统需要可定制的解决方案,以减少不必要的DDI警报,并防止患者受到伤害.
研究的目的:
- 开发一个原型工具,即药物相互作用定制编辑器 (DICE),用于定制DDI警报.
- 识别有助于医疗机构定制DDI警报的功能和功能.
主要方法:
- 一个由药剂师,医生和DDI专家组成的团队确定了用于过DDI警告的关键属性.
- 对负责信息技术的药剂师和药物安全委员会成员进行了调查,以评估DICE工具.
- 参与者评价了DICE部分 (一般,药物,患者,访问) 的有用性,并提供了定性反.
主要成果:
- 调查受访者 (n=50) 主要是经过健康IT/信息学培训的药剂师.
- 过DDI警告的高评级特征包括注射途径,药物特性,患者属性和实验室属性.
- 该DICE工具获得了高的整体实用性评分 (82.8) 和减少DDI警报的潜力 (83.7).
结论:
- 使用EHR数据定制DDI警报可以减少警报疲劳和重写率.
- 原型DICE工具可以作为在EHR系统中开发先进的DDI过工具的模板.
- 这种方法有可能提高药物安全性和临床工作流程效率.
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