Literature DB >> 23616828

AMDIS Case Conference: Intrusive Medication Safety Alerts.

J Graham, D Levick, R Schreiber.   

Abstract

Clinical decision support that provides enhanced patient safety at the point of care frequently encounters significant pushback from clinicians who find the process intrusive or time-consuming. We present a hypothetical medical center's dilemma about its allergy alerting system and discuss similar problems faced by real hospitals. We then share some lessons learned and best practices for institutions who wish to implement these tools themselves.

Entities:  

Keywords:  Electronic prescribing; clinical systems; decision support; medical order entry systems; medication errors/prevention & control; safety management

Year:  2010        PMID: 23616828      PMCID: PMC3631891          DOI: 10.4338/ACI-2010-03-CR-0021

Source DB:  PubMed          Journal:  Appl Clin Inform        ISSN: 1869-0327            Impact factor:   2.342


  12 in total

1.  The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt.

Authors:  Randolph A Miller; Lemuel R Waitman; Sutin Chen; S Trent Rosenbloom
Journal:  J Biomed Inform       Date:  2005-10-21       Impact factor: 6.317

2.  Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup.

Authors:  Jonathan M Teich; Jerome A Osheroff; Eric A Pifer; Dean F Sittig; Robert A Jenders
Journal:  J Am Med Inform Assoc       Date:  2005-03-31       Impact factor: 4.497

3.  Case report: activity diagrams for integrating electronic prescribing tools into clinical workflow.

Authors:  Kevin B Johnson; Fern Fitzhenry
Journal:  J Am Med Inform Assoc       Date:  2006-04-18       Impact factor: 4.497

Review 4.  What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

Authors:  Angela Schedlbauer; Vibhore Prasad; Caroline Mulvaney; Shobha Phansalkar; Wendy Stanton; David W Bates; Anthony J Avery
Journal:  J Am Med Inform Assoc       Date:  2009-04-23       Impact factor: 4.497

5.  Turning off frequently overridden drug alerts: limited opportunities for doing it safely.

Authors:  Heleen van der Sijs; Jos Aarts; Teun van Gelder; Marc Berg; Arnold Vulto
Journal:  J Am Med Inform Assoc       Date:  2008-04-24       Impact factor: 4.497

6.  Premature condemnation of clinical decision support as a useful tool for patient safety in computerized provider order entry.

Authors:  Richard Schreiber; John Knapp
Journal:  J Am Geriatr Soc       Date:  2009-10       Impact factor: 5.562

7.  Clinical decision support systems to improve clinical practice and quality of care.

Authors:  D C Classen
Journal:  JAMA       Date:  1998-10-21       Impact factor: 56.272

Review 8.  Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success.

Authors:  Kensaku Kawamoto; Caitlin A Houlihan; E Andrew Balas; David F Lobach
Journal:  BMJ       Date:  2005-03-14

Review 9.  Beyond usability: designing effective technology implementation systems to promote patient safety.

Authors:  B-T Karsh
Journal:  Qual Saf Health Care       Date:  2004-10

10.  Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry system.

Authors:  Tyken C Hsieh; Gilad J Kuperman; Tonushree Jaggi; Patricia Hojnowski-Diaz; Julie Fiskio; Deborah H Williams; David W Bates; Tejal K Gandhi
Journal:  J Am Med Inform Assoc       Date:  2004-08-06       Impact factor: 4.497

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  1 in total

Review 1.  Therapy development in Huntington disease: From current strategies to emerging opportunities.

Authors:  Audrey S Dickey; Albert R La Spada
Journal:  Am J Med Genet A       Date:  2017-12-08       Impact factor: 2.802

  1 in total

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