Clinical decision support malfunctions related to medication routes: a case series.
Clinical decision support malfunctions related to medication routes: a case series.
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DOI：
10.1093/jamia/ocac150
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发表时间：
2022-10-07
影响因子：
6.4
通讯作者：
Sittig, Dean F.
中科院分区：
文献类型：
--
作者：
Wright, Adam;Nelson, Scott;Rubins, David;Schreiber, Richard;Sittig, Dean F.
确定临床决策支持（CDS）故障的常见给药途径相关原因以及避免这些故障的最佳实践。来自不同医疗保健提供者组织的给药途径相关CDS故障的病例系列。确定并描述了9例病例，包括假阳性和假阴性警报场景。一个常见的原因是当只有全身可用的给药途径是适当的时，将非全身可用的给药途径纳入值集中（例如，滴眼液、滴耳液或局部制剂）。这些值集错误很常见，发生在医疗保健提供者组织和电子健康记录（EHR）系统中，影响许多不同类型的药物，并可能影响CDS干预的准确性。用于审计现有价值组合和支持创建新价值组合的新知识管理工具和流程可以缓解其中许多问题。此外，价值集问题可能会对EHR的其他方面产生不利影响，例如质量报告和人口健康管理。与给药途径相关的值集问题很普遍，可能导致CDS故障。各组织应适当投资于知识管理工具和战略，如我们的建议中概述的那些工具和战略。
To identify common medication route-related causes of clinical decision support (CDS) malfunctions and best practices for avoiding them. Case series of medication route-related CDS malfunctions from diverse healthcare provider organizations. Nine cases were identified and described, including both false-positive and false-negative alert scenarios. A common cause was the inclusion of nonsystemically available medication routes in value sets (eg, eye drops, ear drops, or topical preparations) when only systemically available routes were appropriate. These value set errors are common, occur across healthcare provider organizations and electronic health record (EHR) systems, affect many different types of medications, and can impact the accuracy of CDS interventions. New knowledge management tools and processes for auditing existing value sets and supporting the creation of new value sets can mitigate many of these issues. Furthermore, value set issues can adversely affect other aspects of the EHR, such as quality reporting and population health management. Value set issues related to medication routes are widespread and can lead to CDS malfunctions. Organizations should make appropriate investments in knowledge management tools and strategies, such as those outlined in our recommendations.
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DOI：
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发表时间：
2019-01-01
影响因子：
6.4
作者：
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影响因子：
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10.1093/jamia/ocx139
发表时间：
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影响因子：
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