College of Pharmacy, University of Arizona, Tucson, AZ 85721, USA.
J Am Pharm Assoc (2003). 2011 May-Jun;51(3):418-24. doi: 10.1331/JAPhA.2011.10054.
To assess the performance of pharmacy clinical decision support (CDS) systems for drug-drug interaction (DDI) detection and to identify approaches for improving the ability to recognize important DDIs.
Pharmacists rely on CDS systems to assist in the identification of DDIs, and research suggests that these systems perform suboptimally. The software evaluation tool described here may be used in all pharmacy settings that use electronic decision support to detect potential DDIs, including large and small community chain pharmacies, community independent pharmacies, hospital pharmacies, and governmental facility pharmacies.
A tool is provided to determine the ability of pharmacy CDS systems to identify established DDIs. It can be adapted to evaluate potential DDIs that reflect local practice patterns and patient safety priorities. Beyond assessing software performance, going through the evaluation processes creates the opportunity to evaluate inadequacies in policies, procedures, workflow, and training of all pharmacy staff relating to pharmacy information systems and DDIs.
The DDI evaluation tool can be used to assess pharmacy information systems' ability to recognize relevant DDIs. Suggestions for improvement include determining whether the software allows for customization, creating standard policies for handling specific interactions, and ensuring that drug knowledge database updates occur frequently.
评估药物相互作用（DDI）检测的药学临床决策支持（CDS）系统的性能，并确定提高识别重要 DDI 的能力的方法。
药剂师依靠 CDS 系统来协助识别 DDI，研究表明这些系统的性能不尽如人意。这里描述的软件评估工具可用于所有使用电子决策支持来检测潜在 DDI 的药学环境，包括大型和小型社区连锁药店、社区独立药店、医院药房和政府机构药房。
提供了一种工具来确定药学 CDS 系统识别已建立的 DDI 的能力。它可以适应评估反映当地实践模式和患者安全优先事项的潜在 DDI。除了评估软件性能外，通过评估过程还可以评估与药学信息系统和 DDI 相关的所有药学人员的政策、程序、工作流程和培训方面的不足。
DDI 评估工具可用于评估药学信息系统识别相关 DDI 的能力。改进建议包括确定软件是否允许定制、为处理特定相互作用创建标准政策以及确保药物知识库更新频繁。
