Redesign of computerized decision support to improve antimicrobial prescribing
نویسندگان
چکیده
Melissa T. Baysari1,2; Jessica Del Gigante3; Maria Moran4; Indy Sandaradura2,5; Ling Li1; Katrina L. Richardson6; Anmol Sandhu3; Elin C. Lehnbom7; Johanna I. Westbrook1; Richard O. Day2,4 1Centre for Health Systems & Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney Australia; 2St Vincent’s Clinical School, Faculty of Medicine, UNSW Australia; 3Department of Pharmacy, St Vincent’s Hospital, Sydney Australia; 4Department of Clinical Pharmacology & Toxicology, St Vincent’s Hospital, Sydney Australia; 5Department of Microbiology, St Vincent’s Hospital, Sydney Australia; 6Sydney IT Service Centre, St Vincent’s Health Australia; 7Department of Pharmacy, UiT – The Arctic University of Norway, Tromsø, Norway
منابع مشابه
Redesign of computerized decision support to improve antimicrobial prescribing. A controlled before-and-after study.
OBJECTIVE To determine the impact of the introduction of new pre-written orders for antimicrobials in a computerized provider order entry (CPOE) system on 1) accuracy of documented indications for antimicrobials in the CPOE system, 2) appropriateness of antimicrobial prescribing, and 3) compliance with the hospital's antimicrobial policy. Prescriber opinions of the new decision support were als...
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Prudent antibiotic prescribing is a cornerstone of efforts to control the emergence and spread of antimicrobial resistance and to reduce the occurrence of Clostridium difficile associated diarrhoea, and is also currently the subject of a joint Working Party of the British Society for Antimicrobial Chemotherapy and the Hospital Infection Society. An article in this issue of the Journal describes...
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This decade will see the emergence of the electronic medical record, electronic prescribing and computerized decision support in the hospital setting. Current opinion from key infectious diseases bodies supports the use of computerized decision support systems as potentially useful tools in antibiotic stewardship programs. However, although antibiotic decision support systems appear beneficial ...
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Alerts and prompts represent promising types of decision support in electronic prescribing to tackle inadequacies in prescribing. A systematic review was conducted to evaluate the efficacy of computerized drug alerts and prompts searching EMBASE, CINHAL, MEDLINE, and PsychINFO up to May 2007. Studies assessing the impact of electronic alerts and prompts on clinicians' prescribing behavior were ...
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Computerized drug prescribing alerts can improve patient safety, but are often overridden because of poor specificity and alert overload. Our objective was to improve clinician acceptance of drug alerts by designing a selective set of drug alerts for the ambulatory care setting and minimizing workflow disruptions by designating only critical to high-severity alerts to be interruptive to clinici...
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