Clinical Usefulness of Drug-Disease Interaction Alerts from a Clinical Decision Support System, MedGuard, for Patient Safety: A Single Center Study

Tahmina Nasrin Poly, Md Mohaimenul Islam, Yu Chuan Jack Li

研究成果: 書貢獻/報告類型會議貢獻

摘要

Clinical decision support systems have been widely used in healthcare, yet few studies have concurrently measured the clinical effectiveness of CDSSs, and the appropriateness of alerts with physicians' response to alerts. We conducted a retrospective analysis of prescriptions caused disease-medication related alerts. Medication orders for outpatients' prescriptions, all aged group were included in this study. All the prescriptions were reviewed, and medication orders compared with a widely used medication reference (UpToDate) and other standard guidelines. We reviewed 1,409 CDS alerts (2.67% alert rate) on 52,654 prescriptions ordered during the study period. 545 (38.70%) of alerts were overridden. Override appropriateness was 2.20% overall. However, the rate of alert acceptance was higher, ranging from 11.11 to 92.86%. The MedGuard system had a lower overridden rate than other systems reported in previous studies. The acceptance rate of alerts by physicians was high. Moreover, false-positive rate was low. The MedGuard system has the potential to reduce alert fatigue and to minimize the risk of patient harm.
原文英語
主出版物標題MEDINFO 2021
主出版物子標題One World, One Health - Global Partnership for Digital Innovation - Proceedings of the 18th World Congress on Medical and Health Informatics
編輯Paula Otero, Philip Scott, Susan Z. Martin, Elaine Huesing
發行者IOS Press BV
頁面326-329
頁數4
ISBN(電子)9781643682648
DOIs
出版狀態已發佈 - 6月 2022
事件18th World Congress on Medical and Health Informatics: One World, One Health - Global Partnership for Digital Innovation, MEDINFO 2021 - Virtual, Online
持續時間: 10月 2 202110月 4 2021

出版系列

名字Studies in Health Technology and Informatics
290
ISSN(列印)0926-9630
ISSN(電子)1879-8365

會議

會議18th World Congress on Medical and Health Informatics: One World, One Health - Global Partnership for Digital Innovation, MEDINFO 2021
城市Virtual, Online
期間10/2/2110/4/21

ASJC Scopus subject areas

  • 生物醫學工程
  • 健康資訊學
  • 健康資訊管理

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