自动化对患者进行药物召回的个性化通知:复杂的挑战和定性评估
Meghana Gadgil1, Rose Pavlakos2, Simona Carini1
1Division of General Internal Medicine, University of California, San Francisco, Box 0320, San Francisco, CA, 94143, United States, 1-415-353-7922.
JMIRx med
|January 13, 2026
概括
患者的自动药物召回通知在技术上是可行的,但在临床上是不切实际的. 为了成功实施,需要从处方到分发药物的电子审计轨道.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 药物监管 药物监管 药物监管
背景情况:
- 消费者药物召回通常需要个别患者的行动.
- 美国食品和药物管理局 (FDA) 提供公众召回信息,但意识有限.
- 目前没有任何系统通知处方医生有关受特定药物召回影响的患者.
研究的目的:
- 为了利用FDA的健康公民平台进行自动化的患者召回通知.
- 开发和评估有关药物召回的电子通知系统.
主要方法:
- 在初级保健和心脏病实践中开发并测试了一种电子通知系统.
- 该系统扫描了FDA健康公民API以寻找新的召回,并通过EHR药物清单识别了受影响的患者.
- 患者通过EHR患者门户网站收到通知,链接到FDA信息.
主要成果:
- 通知系统在技术上是可以运行的.
- 无法建立从处方到特定发行的药物批量号的电子审计轨道.
- 采访中的患者反突出了有关系统和门户消息的关键主题.
结论:
- 从处方到发放的药物缺乏准确的电子审计轨道,阻止了自动药物召回通知的临床部署.
- 需要进一步发展,以弥合电子健康记录和患者安全系统的药物数据之间的差距.
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