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在实施之前对药物临床决策支持系统的专业间评估
Jacqueline Bauer1, Marika Busse1, Tanja Kopetzky2
1Pharmacy Department, Universitätsklinikum Erlangen and Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Applied clinical informatics
|July 31, 2024
概括
评估临床决策支持系统 (CDSS) 对于优化药物安全至关重要. 实施前的专业间评估有助于确定局限性,并改善医院的系统使用.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 患者安全 患者安全
背景情况:
- 医院的数字化已经导致计算机化医生订单输入 (CPOE) 和临床决策支持系统 (CDSS) 的广泛使用.
- 虽然CPOE和CDSS可以减少药物错误并提高患者安全,但它们也存在诸如过度警报和不采用等风险.
- 优化CDSS功能需要对其组件进行仔细评估,例如药物安全验证器.
研究的目的:
- 用药物安全验证器评估特定的CDSS (Meona),以确定优化临床常规使用的局限性.
- 评估本地激活/禁用选择对CDSS有效性的影响.
- 在多个机构中比较配置.
主要方法:
- 在德国一所大学医院进行了Meona CDSS及其药物安全验证器的跨专业评估.
- 一个系统的验证过程包括一般评估,技术/内容审查,以及关于激活/禁用模式 (中断式与被动式) 的决定.
- 使用Meona对12所德国大学医院进行的一项调查比较了他们的系统配置.
主要成果:
- 在10个评估的药物安全验证器中,有3个因局限性而被禁用.
- 在7个激活的验证器中,4个使用中断模式,3个使用按需模式.
- 在参与医院中观察到特定地点配置和药物安全警报的显著差异.
结论:
- 在临床实施之前对CPOE和CDSS进行专业间评估对于确定局限性至关重要.
- 这些评估支持可持续的系统利用,并有可能提高药物安全性.
- 针对CDSS组件的定制配置对于有效的临床使用至关重要.
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