Research progress of safety alerts in computerized prescriber order entry system
10.3760/cma.j.issn.1008-5734.2019.01.007
- VernacularTitle:电子处方系统安全警示研究进展
- Author:
Baogang LIU
1
;
Xiaoling LI
;
Suying YAN
;
Ruili WANG
;
Bin ZHANG
;
Xiaohui CUI
Author Information
1. 首都医科大学宣武医院药学部,北京,100053
- Publication Type:Journal Article
- Keywords:
Medication errors;
Patient safety;
Decision support systems;
clinical;
Electronic prescribing;
Reminder systems
- From:
Adverse Drug Reactions Journal
2019;21(1):36-42
- CountryChina
- Language:Chinese
-
Abstract:
The study on safety alerts in computerized physician order entry started from the 90s of 20 century. The forms of safety alerts comprised mainly 2 kinds,invasive and non-invasive alerts. The contents of alert mainly included drug-drug interaction (DDI ), medication of patients with renal insufficiency,potential inappropriate medication of the elderly,irrational use of antibiotics,medication of pregnancy women,and drug allergy. Comparing with non-invasive alerts and non-tiered alerts respectively, the rates of prescription modification due to invasive alerts and tiered alerts increased significantly. The rate of prescription modification due to DDI alerts was significantly higher than that due to potential inappropriate medication alerts of the elderly or drug allergy alerts. Most studies have suggested that the rate of prescription errors decreased after using the electronic prescription safety alert system,and the major factor affecting the effectiveness was alert fatigue. The factors affecting the acceptance rates of alerts mainly included the alert interface setting (color,shape,and etc. ),the content of the alerts,the type of drugs,being tiered or not according to the severity of alerts,specific recommendations for prescription modification being given or not, repetition rate of the alerts,and the prescribers′ professional level,and etc. The developments of safety alerts in computerized prescriber order entry system in the United States,United Kingdom,and Japan are relatively mature and their hospital popularity rates are relatively high. The research on safety alerts in computerized prescriber order entry system in China is relatively late and needs to be further strengthened.
