The effect of medication related clinical decision support at the time of physician order entry

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The effect of medication related clinical decision support at the time of physician order entry

International Journal of Clinical Pharmacy

Fecha de publicación: 29 de setiembre de 2020

DOI: https://doi.org/10.1007/s11096-020-01157-3

Autores: Matthijs L. Becker, Fatih Baypinar, Marieke Pereboom, Soufiane Lilih, Ruud T. M. van der Hoeven, Thijs J. Giezen & Hylke Jan Kingma  

Background: In advanced clinical decision support systems, patient characteristics and laboratory values are included in the algorithms that generate alerts. These alerts have a higher specificity than basic medication surveillance alerts. The alerts of advanced clinical decision support systems can be shown directly to the prescriber during order entry, without the risk of generating an overload of irrelevant alerts. We implemented five advanced algorithms that are shown directly to the prescriber. These algorithms are for gastrointestinal prophylaxis, folic or folinic acid prescribed with orally or subcutaneously administered methotrexate, vitamin D prescribed with bisphosphonates, hyponatremia and measuring plasma levels for vancomycin and gentamicin.

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