Hannan T J
Int J Med Inform. 1999 Jul;55(1):61-4. doi: 10.1016/s1386-5056(99)00020-9.
Adverse drug reactions and inappropriate administration of medications account for poor outcomes for patients. They place patients in life-threatening situations, lead to increased health care costs, extend length of stay in hospitals, as well as increasing litigation. This paper will highlight the incidence of adverse drug events (ADE) in health care and show the low rate of detection within conventional medical records. I will also show how electronic medical records (EMR) improve detection of ADE, enhance clinician compliance to their management, improve patient outcomes, and reduce health care costs.
药物不良反应和用药不当会导致患者预后不良。它们会使患者面临危及生命的情况,导致医疗保健成本增加、住院时间延长,以及诉讼增多。本文将重点介绍医疗保健中不良药物事件(ADE)的发生率,并展示传统病历中较低的检测率。我还将展示电子病历(EMR)如何提高对ADE的检测,增强临床医生对其管理的依从性,改善患者预后,并降低医疗保健成本。