Implementing a Commercial Rule Base as a Medication Order Safety Net
AUTOR(ES)
Reichley, Richard M.
FONTE
American Medical Informatics Association
RESUMO
A commercial rule base (Cerner Multum) was used to identify medication orders exceeding recommended dosage limits at five hospitals within BJC HealthCare, an integrated health care system. During initial testing, clinical pharmacists determined that there was an excessive number of nuisance and clinically insignificant alerts, with an overall alert rate of 9.2%. A method for customizing the commercial rule base was implemented to increase rule specificity for problematic rules. The system was subsequently deployed at two facilities and achieved alert rates of less than 1%. Pharmacists screened these alerts and contacted ordering physicians in 21% of cases. Physicians made therapeutic changes in response to 38% of alerts presented to them. By applying simple techniques to customize rules, commercial rule bases can be used to rapidly deploy a safety net to screen drug orders for excessive dosages, while preserving the rule architecture for later implementations of more finely tuned clinical decision support.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1174882Documentos Relacionados
- Experience in Implementing Inpatient Clinical Note Capture via a Provider Order Entry System
- Medication administration safety assessment tool: Construction and validation
- Medication reconciliation as a strategy for preventing medication errors
- Implementing technologies to prevent medication errors at a high-complexity hospital: analysis of cost and results
- Sobre o modelo neural RuleNet e suas características simbólica e cooperativa.
