Complexities of Clinical Decision Support Illustrated by Pediatric Dosing Alerts

被引:7
|
作者
Stultz, Jeremy S. [1 ]
Nahata, Milap C. [2 ,3 ,4 ]
机构
[1] Virginia Commonwealth Univ, Sch Pharm, Richmond, VA USA
[2] Ohio State Univ, Coll Pharm, Columbus, OH 43210 USA
[3] Ohio State Univ, Coll Med, Columbus, OH 43210 USA
[4] Nationwide Childrens Hosp, Columbus, OH USA
关键词
informatics; pediatrics; medication safety; medical informatics; medication errors; drug safety; COMPUTERIZED ORDER ENTRY; MEDICATION ERRORS; PRESCRIPTION ERRORS;
D O I
10.1177/1060028015604632
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Health information technologies, such as computerized clinical decision support (CDS) systems, are being utilized increasingly in pediatric health care institutions as a means of medication error prevention. Most studies have suggested a positive impact of CDS on medication safety, but others have identified complexities that have prevented full optimization of these systems. Recent studies regarding the implementation of pediatric dosing alerts have illustrated the complexities that can be associated with the design, implementation, and refinement of CDS systems. Although CDS dosing alerts have likely improved the safety of medication use in pediatric patients, it is important to be aware of certain limitations of the dosing alert systems. A collaborative effort is required to optimize the effectiveness of CDS dosing alerts.
引用
收藏
页码:1261 / 1264
页数:4
相关论文
共 50 条
  • [31] Alert dwell time: introduction of a measure to evaluate interruptive clinical decision support alerts
    McDaniel, Robert B.
    Burlison, Jonathan D.
    Baker, Donald K.
    Hasan, Murad
    Robertson, Jennifer
    Hartford, Christine
    Howard, Scott C.
    Sablauer, Andras
    Hoffman, James M.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2016, 23 (E1) : E138 - E141
  • [32] Nature and frequency of drug therapy alerts generated by clinical decision support in community pharmacy
    Heringa, M.
    Floor-Schreudering, A.
    Tromp, C.
    de Smet, P.
    Bouvy, M.
    [J]. INTERNATIONAL JOURNAL OF CLINICAL PHARMACY, 2016, 38 (02) : 489 - 490
  • [33] Interruptive clinical decision support (CDS) alerts for improved prescribing: implications of prescriber overrides
    Sundermann, Milan
    Clendon, Olivia
    Doogue, Matt
    Chin, Paul
    [J]. BRITISH JOURNAL OF PHARMACOLOGY, 2023, 180 : 286 - 287
  • [34] Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts
    Chaparro, Juan D.
    Beus, Jonathan M.
    Dziorny, Adam C.
    Hagedorn, Philip A.
    Hernandez, Sean
    Kandaswamy, Swaminathan
    Kirkendall, Eric S.
    McCoy, Allison B.
    Muthu, Naveen
    Orenstein, Evan W.
    [J]. APPLIED CLINICAL INFORMATICS, 2022, 13 (03): : 560 - 568
  • [35] Nature and frequency of drug therapy alerts generated by clinical decision support in community pharmacy
    Heringa, Mette
    Floor-Schreudering, Annemieke
    Tromp, P. Chris
    de Smet, Peter A. G. M.
    Bouvy, Marcel L.
    [J]. PHARMACOEPIDEMIOLOGY AND DRUG SAFETY, 2016, 25 (01) : 82 - 89
  • [36] A clinical decision support system to improve adequate dosing of gentamicin and vancomycin
    Pereboom, Marieke
    Mulder, Inge J.
    Verweij, Sjoerd L.
    van der Hoeven, Ruud T. M.
    Becker, Matthijs L.
    [J]. INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2019, 124 : 1 - 5
  • [37] Effects of clinical decision support on initial dosing and monitoring of tobramycin and amikacin
    Cox, Zachary L.
    Nelsen, Cori L.
    Waitman, Lemuel R.
    McCoy, Jacob A.
    Peterson, Josh F.
    [J]. AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2011, 68 (07) : 624 - 632
  • [38] Recommendations to improve the usability of drug-drug interaction clinical decision support alerts
    Payne, Thomas H.
    Hines, Lisa E.
    Chan, Raymond C.
    Hartman, Seth
    Kapusnik-Uner, Joan
    Russ, Alissa L.
    Chaffee, Bruce W.
    Hartman, Christian
    Tamis, Victoria
    Galbreth, Brian
    Glassman, Peter A.
    Phansalkar, Shobha
    van der Sijs, Heleen
    Gephart, Sheila M.
    Mann, Gordon
    Strasberg, Howard R.
    Grizzle, Amy J.
    Brown, Mary
    Kuperman, Gilad J.
    Steiner, Chris
    Sullins, Amanda
    Ryan, Hugh
    Wittie, Michael A.
    Malone, Daniel C.
    [J]. JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2015, 22 (06) : 1243 - 1250
  • [39] Electronic clinical decision support tool for hydroxychloroquine dosing guideline adherence
    Chen, Rebecca
    Kuo, Blanche
    Kalur, Aneesha
    Muste, Justin
    Singh, Rishi P.
    [J]. INVESTIGATIVE OPHTHALMOLOGY & VISUAL SCIENCE, 2021, 62 (08)
  • [40] Implementation of Electronic Clinical Decision Support for Pediatric Appendicitis
    Kharbanda, Anupam B.
    Madhok, Manu
    Krause, Ernest
    Vazquez-Benitez, Gabriela
    Kharbanda, Elyse O.
    Mize, William
    Schmeling, David
    [J]. PEDIATRICS, 2016, 137 (05)