Appl Clin Inform - Towards meaningful medication-related clinical decision support: recommendations for an initial implementation.

Tópicos

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Resumo

MMARY: Clinical decision support (CDS) can improve safety, quality, and cost-effectiveness of patient care, especially when implemented in computerized provider order entry (CPOE) applications. Medication-related decision support logic forms a large component of the CDS logic in any CPOE system. However, organizations wishing to implement CDS must either purchase the computable clinical content or develop it themselves. Content provided by vendors does not always meet local expectations. Most organizations lack the resources to customize the clinical content and the expertise to implement it effectively. In this paper, we describe the recommendations of a national expert panel on two basic medication-related CDS areas, specifically, drug-drug interaction (DDI) checking and duplicate therapy checking. The goals of this study were to define a starter set of medication-related alerts that healthcare organizations can implement in their clinical information systems. We also draw on the experiences of diverse institutions to highlight the realities of implementing medication decision support. These findings represent the experiences of institutions with a long history in the domain of medication decision support, and the hope is that this guidance may improve the feasibility and efficiency CDS adoption across healthcare settings.

Resumo Limpo

mmari clinic decis support cds can improv safeti qualiti costeffect patient care especi implement computer provid order entri cpoe applic medicationrel decis support logic form larg compon cds logic cpoe system howev organ wish implement cds must either purchas comput clinic content develop content provid vendor alway meet local expect organ lack resourc custom clinic content expertis implement effect paper describ recommend nation expert panel two basic medicationrel cds area specif drugdrug interact ddi check duplic therapi check goal studi defin starter set medicationrel alert healthcar organ can implement clinic inform system also draw experi divers institut highlight realiti implement medic decis support find repres experi institut long histori domain medic decis support hope guidanc may improv feasibl effici cds adopt across healthcar set

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