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一个计算机警报系统,以防止因药物不良事件造成的伤害:在社区教学医院的开发和评估
R A Raschke1, B Gollihare, T A Wunderlich
1Good Samaritan Regional Medical Center, Phoenix, Ariz 85006, USA. robertr@samaritan.edu
JAMA
|October 30, 1998
概括
一个计算机警报系统成功地确定了在住院患者中预防不良药物事件 (ADEs) 的机会. 该系统与医院信息系统集成,帮助临床医生通过标记危险情况来避免潜在的伤害.
科学领域:
- 医疗信息学 医疗信息学
- 患者安全 患者安全
- 临床决策支持 临床决策支持
背景情况:
- 药物不良事件 (ADEs) 是住院患者中阳性损伤的主要原因.
- 在撰写医生订单时的信息缺口对ADE有很大影响.
研究的目的:
- 开发和评估一个计算机预警系统,以防止ADEs.
- 为了纠正处方错误,并在严重伤害发生之前检测ADEs.
主要方法:
- 在一个拥有650张床位的社区教学医院进行的前性案例系列.
- 一个医院信息系统被编程为37种药物特定的ADEs产生警报.
- 医生通报系统确保通报警报.
主要成果:
- 警报系统产生了1116个警报,其中596个 (53%) 是正确的.
- 鉴定出每1000例入院中64例潜在的ADE.
- 44%的真实阳性警报最初没有被医生识别.
结论:
- 医院信息系统可以有效地用于预防ADEs.
- 临床医生可以利用这些系统来识别和减轻各种ADE的风险.
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