Developing strategies for predicting hyperkalemia in potassium-increasing drug-drug interactions

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Developing strategies for predicting hyperkalemia in potassium-increasing drug-drug interactions

OBJECTIVE To compare different strategies predicting hyperkalemia (serum potassium level ≥5.5 mEq/l) in hospitalized patients for whom medications triggering potassium-increasing drug-drug interactions (DDIs) were ordered. MATERIALS AND METHODS We investigated 5 strategies that combined prediction triggered at onset of DDI versus continuous monitoring and taking into account an increasing num...

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Impact of Specific Alerts in Potassium-Increasing Drug-Drug Interactions

Alerts in potassium(K+)-increasing drug-drug interactions (DDIs) are often ignored due to their low specificity. Although different approaches have been implemented to address DDIs, subsequent clinical studies revealed poor adherence to such alerts. We therefore suggest a novel alert concept currently being evaluated in a randomized clinical trial in a large teaching hospital. Highly specific r...

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Potential drug-drug interactions among hospitalized patients in a developing country

Background: Drug-drug interactions (DDIs) may often lead to preventable adverse drug events and health damage. Particularly in hospitals, this might be an important factor as multiple drug therapies are common. The objective of this study was to identify the frequency and levels of potential DDIs in internal medicine wards in an Iranian university hospital. Methods: A cross-sectional study...

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ژورنال

عنوان ژورنال: Journal of the American Medical Informatics Association

سال: 2016

ISSN: 1067-5027,1527-974X

DOI: 10.1093/jamia/ocw050