Ambulatory Computerized Prescribing and Preventable Adverse Drug Events.

Ambulatory Computerized Prescribing and Preventable Adverse Drug Events.
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门诊计算机化处方和可预防的药物不良事件。

DOI:
10.1097/pts.0000000000000194
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发表时间:
2016
影响因子:
2.2
通讯作者:
Bates,DavidW
Bates,DavidW
中科院分区:
医学3区
文献类型:
--
作者:
Overhage,JosephMarcus;Gandhi,TejalK;Hope,Carol;Seger,AndrewC;Murray,MichaelD;Orav,EJohn;Bates,DavidW

文献摘要

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背景:药物不良事件(ADEs)是门诊护理中造成伤害的一个重要原因。计算机化的医嘱输入减少了严重用药错误的发生率,而严重用药错误可导致住院患者发生ADE,但很少有研究评估门诊计算机化处方是否降低了门诊护理中可预防的ADE发生率。目的探讨计算机处方与基本临床用药决策支持实施前后的可预防性ade发生率。设计
BackgroundAdverse drug events (ADEs) represent a significant cause of injury in the ambulatory care setting. Computerized physician order entry reduces rates of serious medication errors that can lead to ADEs in the inpatient setting, but few studies have evaluated whether computerized prescribing in the ambulatory setting reduces preventable ADE rates in ambulatory care.ObjectiveTo determine the rates of preventable ADEs before and after the implementation of computerized prescribing with basic clinical decision support for ordering medications.Design