Int J Med Inform - Faxed Arabic prescriptions: a medication error waiting to happen?

Tópicos

{ medic(1828) order(1363) alert(1069) }
{ measur(2081) correl(1212) valu(896) }
{ extract(1171) text(1153) clinic(932) }
{ activ(1452) weight(1219) physic(1104) }
{ take(945) account(800) differ(722) }
{ data(1737) use(1416) pattern(1282) }
{ error(1145) method(1030) estim(1020) }
{ risk(3053) factor(974) diseas(938) }
{ sampl(1606) size(1419) use(1276) }
{ research(1085) discuss(1038) issu(1018) }
{ chang(1828) time(1643) increas(1301) }
{ system(1050) medic(1026) inform(1018) }
{ spatial(1525) area(1432) region(1030) }
{ structur(1116) can(940) graph(676) }
{ model(3480) simul(1196) paramet(876) }
{ data(2317) use(1299) case(1017) }
{ result(1111) use(1088) new(759) }
{ process(1125) use(805) approach(778) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ treatment(1704) effect(941) patient(846) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ method(1557) propos(1049) approach(1037) }
{ howev(809) still(633) remain(590) }
{ perform(1367) use(1326) method(1137) }
{ health(3367) inform(1360) care(1135) }
{ monitor(1329) mobil(1314) devic(1160) }
{ patient(2837) hospit(1953) medic(668) }
{ age(1611) year(1155) adult(843) }
{ data(3008) multipl(1320) sourc(1022) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ use(2086) technolog(871) perceiv(783) }
{ can(981) present(881) function(850) }
{ use(976) code(926) identifi(902) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ patient(2315) diseas(1263) diabet(1191) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ clinic(1479) use(1117) guidelin(835) }
{ data(1714) softwar(1251) tool(1186) }
{ design(1359) user(1324) use(1319) }
{ control(1307) perform(991) simul(935) }
{ model(2220) cell(1177) simul(1124) }
{ care(1570) inform(1187) nurs(1089) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ studi(1410) differ(1259) use(1210) }
{ perform(999) metric(946) measur(919) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ record(1888) medic(1808) patient(1693) }
{ ehr(2073) health(1662) electron(1139) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ model(2656) set(1616) predict(1553) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ activ(1138) subject(705) human(624) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(1733) differ(960) four(931) }
{ drug(1928) target(777) effect(648) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

RPOSE: The Arabic language uses notations called diacritical marks around characters to change which letter a symbol represents, changing the word in which that letter is contained. We explore the potential for error of these marks when faxed in a critical case such as prescriptions. A large number of patients are hurt by medical errors each year. Extensive literature already documents the risks from handwritten prescriptions, while little work has been done with risks from reproduced printed prescriptions. No literature exists to examine risks of prescriptions in non-Roman character alphabets being reproduced. Reproduction via fax transmission is a common practice and often produces damaged copies which can lead to medication errors. Languages with diacritical marks, particularly small ones, used for critical contextual meaning would more likely be at risk for misreading due to fax damage.METHODS: We generated text in English and Arabic reproducing common prescribing instructions, such as "every day" at various font sizes. This was placed on commonly used prescription paper, and reproduced via fax between 2 medical facility fax machines.RESULTS: We demonstrate meaningful change of prescribing instructions in the Arabic text by both the fax compression algorithm changing the appearance of diacritical marks along with a large amount of stochastic noise and dropouts being present. This change produced a potentially dangerous change in the instructions in the example we present.CONCLUSIONS: Prescriptions that are faxed in languages that use diacritical marks to denote contextual meaning, are at high risk for misreading when reproduced via fax. We suggest mitigating strategies, including minimal font size and use of alliteration text in other languages.

Resumo Limpo

rpose arab languag use notat call diacrit mark around charact chang letter symbol repres chang word letter contain explor potenti error mark fax critic case prescript larg number patient hurt medic error year extens literatur alreadi document risk handwritten prescript littl work done risk reproduc print prescript literatur exist examin risk prescript nonroman charact alphabet reproduc reproduct via fax transmiss common practic often produc damag copi can lead medic error languag diacrit mark particular small one use critic contextu mean like risk misread due fax damagemethod generat text english arab reproduc common prescrib instruct everi day various font size place common use prescript paper reproduc via fax medic facil fax machinesresult demonstr meaning chang prescrib instruct arab text fax compress algorithm chang appear diacrit mark along larg amount stochast nois dropout present chang produc potenti danger chang instruct exampl presentconclus prescript fax languag use diacrit mark denot contextu mean high risk misread reproduc via fax suggest mitig strategi includ minim font size use alliter text languag

Resumos Similares

Int J Med Inform - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. ( 0,590205401521765 )
Appl Clin Inform - Effect of EHR user interface changes on internal prescription discrepancies. ( 0,582755293484817 )
Int J Med Inform - Assessment of efficiency and safety of the comprehensive Chemotherapy Assistance Program for ordering oncology medications. ( 0,582102211100674 )
Health Informatics J - Interprofessional, simulation-based technology-enhanced learning to improve physical healthcare in psychiatry: The RAMPPS course. ( 0,572683355110591 )
Int J Med Inform - Junior doctors' prescribing work after-hours and the impact of computerized decision support. ( 0,571522599448175 )
J Am Med Inform Assoc - A clinical data warehouse-based process for refining medication orders alerts. ( 0,567087230070636 )
Appl Clin Inform - Analysis of electronic medication orders with large overdoses: opportunities for mitigating dosing errors. ( 0,567077981710615 )
J Am Med Inform Assoc - Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. ( 0,566640912565092 )
Appl Clin Inform - Matching clinicians to operative cases: a novel application of a patient acuity score. ( 0,566010305281683 )
J Am Med Inform Assoc - Evaluating the accuracy of electronic pediatric drug dosing rules. ( 0,564063281395173 )
J Biomed Inform - Automatic recognition of disorders, findings, pharmaceuticals and body structures from clinical text: an annotation and machine learning study. ( 0,561908167162721 )
Comput Methods Programs Biomed - #NOME? ( 0,560061420740194 )
J Am Med Inform Assoc - Prevalence of medication administration errors in two medical units with automated prescription and dispensing. ( 0,559287787596469 )
Int J Med Inform - What, if all alerts were specific - estimating the potential impact on drug interaction alert burden. ( 0,558688976952909 )
J Biomed Inform - Applying semantic-based probabilistic context-free grammar to medical language processing--a preliminary study on parsing medication sentences. ( 0,553691453893282 )
Appl Clin Inform - Reducing risk with clinical decision support: a study of closed malpractice claims. ( 0,552511524187757 )
J Am Med Inform Assoc - Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. ( 0,552233436936631 )
Int J Med Inform - A comprehensive RFID solution to enhance inpatient medication safety. ( 0,551927397780437 )
BMC Med Inform Decis Mak - Development of a context model to prioritize drug safety alerts in CPOE systems. ( 0,551588661335264 )
AMIA Annu Symp Proc - Reducing wrong patient selection errors: exploring the design space of user interface techniques. ( 0,551080372843408 )
Comput. Biol. Med. - Improved explanation of human intelligence using cortical features with second order moments and regression. ( 0,548315486936114 )
J Am Med Inform Assoc - Prescribers' expectations and barriers to electronic prescribing of controlled substances. ( 0,548113728743519 )
Int J Med Inform - Technology-related medication errors in a tertiary hospital: a 5-year analysis of reported medication incidents. ( 0,547110136915511 )
Int J Med Inform - An RFID solution for enhancing inpatient medication safety with real-time verifiable grouping-proof. ( 0,545797790192284 )
BMC Med Inform Decis Mak - Evaluation of a drug-drug interaction: fax alert intervention program. ( 0,545562666261375 )
J Am Med Inform Assoc - Don't fuel the fire: decreasing intravenous haloperidol use in high risk patients via a customized electronic alert. ( 0,54487788796023 )
J Am Med Inform Assoc - The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. ( 0,544566855310122 )
Perspect Health Inf Manag - Enhance the accuracy of medication histories for the elderly by using an electronic medication checklist. ( 0,542535613725644 )
J Am Med Inform Assoc - Classification of medication incidents associated with information technology. ( 0,542437373231227 )
J Am Med Inform Assoc - 'Too much, too late': mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing. ( 0,541207759870402 )
J Am Med Inform Assoc - Collaborative knowledge acquisition for the design of context-aware alert systems. ( 0,540215256481754 )
J Med Syst - Development of a point-of-care HIV/AIDS medication dosing support system using the Android mobile platform. ( 0,539535575034814 )
Artif Intell Med - On mining clinical pathway patterns from medical behaviors. ( 0,539241129309691 )
BMC Med Inform Decis Mak - Effect of electronic prescribing with formulary decision support on medication tier, copayments, and adherence. ( 0,538418302578951 )
J. Med. Internet Res. - Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. ( 0,537953150677012 )
J Am Med Inform Assoc - Factors contributing to an increase in duplicate medication order errors after CPOE implementation. ( 0,53596791182266 )
J Am Med Inform Assoc - Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. ( 0,535953574898636 )
Int J Med Inform - Validity of a clinical decision rule-based alert system for drug dose adjustment in patients with renal failure intended to improve pharmacists' analysis of medication orders in hospitals. ( 0,535946901658825 )
Int J Med Inform - The effect of using the health smart card vs. CPOE reminder system on the prescribing practices of non-obstetric physicians during outpatient visits for pregnant women in Taiwan. ( 0,53587650691209 )
J Am Med Inform Assoc - Impact of clinical decision support preventing the use of QT-prolonging medications for patients at risk for torsade de pointes. ( 0,535183191095458 )
J Biomed Inform - Assertion modeling and its role in clinical phenotype identification. ( 0,534818282983299 )
J Am Med Inform Assoc - Temporal and other factors that influence the time doctors take to prescribe using an electronic prescribing system. ( 0,533888782364164 )
Comput Methods Programs Biomed - A smart medication recommendation model for the electronic prescription. ( 0,53370973637903 )
J Am Med Inform Assoc - Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system. ( 0,532632704849104 )
AMIA Annu Symp Proc - I meant that med for Baylee not Bailey!: a mixed method study to identify incidence and risk factors for CPOE patient misidentification. ( 0,532487244685932 )
BMC Med Inform Decis Mak - Implementation and evaluation of a nurse-centered computerized potassium regulation protocol in the intensive care unit--a before and after analysis. ( 0,53247846498171 )
AMIA Annu Symp Proc - Reducing free-text communication orders placed by providers using association rule mining. ( 0,532253587884618 )
J Am Med Inform Assoc - Development and use of active clinical decision support for preemptive pharmacogenomics. ( 0,529230319471941 )
Appl Clin Inform - Response to medication dosing alerts for pediatric inpatients using a computerized provider order entry system. ( 0,528786661419527 )
J. Med. Internet Res. - Developing a disease outbreak event corpus. ( 0,527961076056254 )
Appl Clin Inform - Medication safety improves after implementation of positive patient identification. ( 0,527535086967474 )
Appl Clin Inform - Decision Support Alerts for Medication Ordering in a Computerized Provider Order Entry (CPOE) System: A systematic approach to decrease alerts. ( 0,526477961004577 )
J Am Med Inform Assoc - Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE). ( 0,524915018797185 )
Sci Data - Building the graph of medicine from millions of clinical narratives. ( 0,524811015110432 )
BMC Med Inform Decis Mak - Using a computerized provider order entry system to meet the unique prescribing needs of children: description of an advanced dosing model. ( 0,523543394185843 )
J Am Med Inform Assoc - Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. ( 0,52270000553623 )
Int J Med Inform - Cost-effectiveness of an electronic medication ordering system (CPOE/CDSS) in hospitalized patients. ( 0,522015669492212 )
Artif Intell Med - Developing a drug library for smart pumps in a pediatric intensive care unit. ( 0,521299074115744 )
Artif Intell Med - Evaluation of rule effectiveness and positive predictive value of clinical rules in a Dutch clinical decision support system in daily hospital pharmacy practice. ( 0,517881657001199 )
J Am Med Inform Assoc - The effectiveness of a new generation of computerized drug alerts in reducing the risk of injury from drug side effects: a cluster randomized trial. ( 0,517216838845282 )
Int J Med Inform - Prescription order risk factors for pediatric dosing alerts. ( 0,517149736213043 )
J Am Med Inform Assoc - Ambulatory prescribing errors among community-based providers in two states. ( 0,517011107641493 )
J Am Med Inform Assoc - Errors associated with outpatient computerized prescribing systems. ( 0,516171686155222 )
Appl Clin Inform - Drug interaction alert override rates in the Meaningful Use era: no evidence of progress. ( 0,516167217548108 )
AMIA Annu Symp Proc - Improving patient safety by modifying provider ordering behavior using alerts (CDSS) in CPOE system. ( 0,515812878321025 )
J Am Med Inform Assoc - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. ( 0,51577137856082 )
J Am Med Inform Assoc - Making electronic prescribing alerts more effective: scenario-based experimental study in junior doctors. ( 0,515090230800174 )
J Am Med Inform Assoc - Factors influencing alert acceptance: a novel approach for predicting the success of clinical decision support. ( 0,513139020365096 )
Res Synth Methods - Precision of healthcare systematic review searches in a cross-sectional sample. ( 0,512574854904127 )
Appl Clin Inform - Duplicate orders: an unintended consequence of computerized provider/physician order entry (CPOE) implementation: analysis and mitigation strategies. ( 0,511962570614348 )
Int J Med Inform - Evaluation of medication dose alerts in pediatric inpatients. ( 0,511079966313834 )
AMIA Annu Symp Proc - Studying visual behaviors from multiple eye tracking features across levels of information representation. ( 0,509699573702167 )
J Am Med Inform Assoc - Overrides of medication-related clinical decision support alerts in outpatients. ( 0,509429879648021 )
Int J Health Geogr - Geographical epidemiology of antibacterials in the preschool age. ( 0,50928978207318 )
Comput Methods Programs Biomed - Physicians' responses to computerized drug-drug interaction alerts for outpatients. ( 0,508908146509994 )
J Am Med Inform Assoc - Automated concept-level information extraction to reduce the need for custom software and rules development. ( 0,508483574862187 )
Methods Inf Med - From adverse drug event detection to prevention. A novel clinical decision support framework for medication safety. ( 0,507991029698591 )
AMIA Annu Symp Proc - Unexpected effects of unintended consequences: EMR prescription discrepancies and hemorrhage in patients on warfarin. ( 0,507794705506611 )
Int J Med Inform - A nationwide computerized patient medication history: evaluation of the Austrian pilot project e-Medikation. ( 0,507526046866279 )
Int J Med Inform - Impact of electronic order management on the timeliness of antibiotic administration in critical care patients. ( 0,507514690202703 )
AMIA Annu Symp Proc - Improving Patient Safety through Medical Alert Management: An Automated Decision Tool to Reduce Alert Fatigue. ( 0,507443229964262 )
BMC Med Inform Decis Mak - Mining FDA drug labels for medical conditions. ( 0,506991599053237 )
Comput Methods Programs Biomed - Developing guideline-based decision support systems using prot?g? and jess. ( 0,506439581801751 )
Telemed J E Health - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. ( 0,505719064012306 )
J Am Med Inform Assoc - Sensitivity and specificity of dosing alerts for dosing errors among hospitalized pediatric patients. ( 0,505293669170896 )
Appl Clin Inform - Real-time pharmacy surveillance and clinical decision support to reduce adverse drug events in acute kidney injury: a randomized, controlled trial. ( 0,504214425189078 )
J Biomed Inform - The use of sequential pattern mining to predict next prescribed medications. ( 0,503185365346014 )
J Biomed Inform - A natural language processing pipeline for pairing measurements uniquely across free-text CT reports. ( 0,502293939706682 )
J Am Med Inform Assoc - Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. ( 0,502274662111619 )
Comput Methods Programs Biomed - Individualized model discovery: the case of anemia patients. ( 0,501764052664267 )
Artif Intell Med - Safety and usability evaluation of a web-based insulin self-titration system for patients with type 2 diabetes mellitus. ( 0,501305641304888 )
Int J Med Inform - A trial of indication based prescribing of antihypertensive medications during computerized order entry to improve problem list documentation. ( 0,500277265854004 )
Appl Clin Inform - Impact of clinical reminder redesign on physicians' priority decisions. ( 0,500190101818787 )
J Am Med Inform Assoc - Paving the COWpath: data-driven design of pediatric order sets. ( 0,500028416550277 )
J Med Syst - Two RFID-based solutions for secure inpatient medication administration. ( 0,499973700682186 )
Methods Inf Med - Chronological bias in randomized clinical trials arising from different types of unobserved time trends. ( 0,499789127526438 )
IEEE J Biomed Health Inform - Design of a RESTful web information system for drug prescription and administration. ( 0,499116577745152 )
J Am Med Inform Assoc - How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. ( 0,498930046984907 )
Int J Med Inform - Coded entry versus free-text and alert overrides: what you get depends on how you ask. ( 0,498253281974689 )
AMIA Annu Symp Proc - Factors Contributing to CPOE Opiate Allergy Alert Overrides. ( 0,497306480882684 )