COMPUTERIZED MEDICATION MONITORING-SYSTEM
COMPUTERIZED MEDICATION MONITORING-SYSTEM
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DOI：
10.1093/ajhp/33.10.1061
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发表时间：
1976-01-01
期刊：
影响因子：
--
通讯作者：
GARDNER, RM
中科院分区：
文献类型：
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作者：
HULSE, RK;CLARK, SJ;GARDNER, RM
介绍了一种用于药物不良反应预警的计算机化药物监测系统，该系统集成了医院每位患者的计算机化数据（药物、临床实验室、血气、ECG、过敏、诊断等）。并将关于患者药物治疗的警告消息和建议返回给药剂师。广泛的数据库允许几乎完整的药物治疗监测。当收到警告信息时，药剂师联系医生或护理人员并解释潜在的问题。该系统还生成处方标签和患者药物配置文件，用于单位剂量分配系统。在监测的13，727名患者中，有5%的患者收到了药物警报。在这些变化中，44.9%是药物-实验室禁忌症，只有28.9%是药物-药物相互作用。在收到的690个警报中，77%导致医生改变患者的治疗。
A computerized medication monitoring system for alerting and warning of potential adverse drug reactions is described.The system integrates computerized data on each hospital patient (medications, clinical laboratory, blood gas, ECG, ALLERGIES, DIAGNOSIs, etc.) and returns to the pharmacist warning messages and suggestions regarding patient drug therapy. The broad data base allows for nearly complete drug therapy monitoring. When a warning message is received, the pharmacist contacts the physician or nursing staff and explains the potential problem. The system also generates prescription labels and patient drug profiles which are used in a unit dose dispensing system.Five percent of 13,727 patients monitored have had drug alerts. Of these alterts, 44.9% were drug-laboratory contraindications and only 28.9% were drug-drug interactions. Of the 690 alerts received, 77% resulted in the physician changing the patient's therapy.