涉及抗凝剂的计算机化临床决策支持系统的效率:一项在荷兰医院药房进行的闪电集会研究
Jetske Graafsma1, Ewoudt M W van de Garde2,3, Hieronymus J Derijks4
1Department of Clinical Pharmacy and Pharmacology, University Medical Center Groningen, Groningen, the Netherlands.
British journal of clinical pharmacology
|September 10, 2024
概括
荷兰医院对抗凝血剂的计算机决策支持系统 (CDSS) 警报显示效率低,需要药剂师和技术人员投入大量时间. 优化是必要的,以提高警报的相关性和减少工作负载.
科学领域:
- 医疗信息学 医疗信息学
- 临床药房 临床药房
- 药物安全 药物安全
背景情况:
- 计算机化决策支持系统 (CDSS) 旨在预防药物不良事件.
- 然而,CDSS通常会产生许多非临床相关的警报,导致警报疲劳.
- 抗凝剂是医院环境中这些警报的常见来源.
研究的目的:
- 评估荷兰医院药房中专门针对抗凝剂的CDSS警报的效率.
- 评估CDSS警报的临床相关性和干预率.
- 为了确定与警报评估相关的时间支出.
主要方法:
- 在荷兰医院进行了一项多中心,横截面的研究,使用flashmob设计.
- 收集的数据包括CDSS警报的数量和类型 (国家监测和临床规则) 和评估时间.
- CDSS效率被定义为导致干预的警报的百分比.
主要成果:
- 该研究包括69家受邀医院药房中的42家 (61%的参与率).
- 对抗凝血剂警报的CDSS效率为4.0% (国家) 和14.3% (临床规则).
- 整体药物警报效率较低 (1.8%和13.4%),时间投入较高 (平均每天2-6小时).
结论:
- 荷兰医院药房中抗凝剂警报的CDSS效率通常很低.
- 目前的警报系统需要药房工作人员投入大量时间.
- 显然需要优化CDSS警报功能,以提高临床相关性和减少工作量.
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