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一种用于创建情境感知药物相互作用警报的成功模型和可视化设计。

A successful model and visual design for creating context-aware drug-drug interaction alerts.

作者信息

Duke Jon D, Bolchini Davide

机构信息

Regenstrief Institute, Indianapolis, IN, USA.

出版信息

AMIA Annu Symp Proc. 2011;2011:339-48. Epub 2011 Oct 22.

PMID:22195086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3243201/
Abstract

Evaluating the potential harm of a drug-drug interaction (DDI) requires knowledge of a patient's relevant co-morbidities and risk factors. Current DDI alerts lack such patient-specific contextual data. In this paper, we present an efficient model for integrating pertinent patient data into DDI alerts. This framework is designed to be interoperable across multiple drug knowledge bases and clinical information systems. To evaluate the model, we generated a set of contextual DDI data using our local drug knowledge base then conducted an evaluation study of a prototype contextual alert design. The alert received favorable ratings from study subjects, who agreed it was an improvement over traditional alerts and was likely to support clinical management and save physician time. This framework may ultimately help reduce alert fatigue through the dynamic display of DDI alerts based on patient risk.

摘要

评估药物相互作用(DDI)的潜在危害需要了解患者的相关合并症和风险因素。当前的DDI警报缺乏此类特定于患者的背景数据。在本文中,我们提出了一种将相关患者数据整合到DDI警报中的有效模型。该框架旨在跨多个药物知识库和临床信息系统实现互操作性。为了评估该模型,我们使用本地药物知识库生成了一组背景DDI数据,然后对一个原型背景警报设计进行了评估研究。该警报获得了研究对象的好评,他们一致认为它比传统警报有所改进,并且可能有助于临床管理并节省医生时间。该框架最终可能通过基于患者风险动态显示DDI警报来帮助减轻警报疲劳。

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本文引用的文献

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A review of human factors principles for the design and implementation of medication safety alerts in clinical information systems.临床信息系统中药物安全警报设计和实施的人为因素原则综述。
J Am Med Inform Assoc. 2010 Sep-Oct;17(5):493-501. doi: 10.1136/jamia.2010.005264.
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What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?有哪些证据支持使用计算机化警报和提示来改善临床医生的处方行为?
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Comparative assessment of four drug interaction compendia.四种药物相互作用汇编的比较评估
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Improving laboratory monitoring at initiation of drug therapy in ambulatory care: a randomized trial.改善门诊护理中药物治疗起始时的实验室监测:一项随机试验。
Arch Intern Med. 2005 Nov 14;165(20):2395-401. doi: 10.1001/archinte.165.20.2395.
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Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review.计算机化临床决策支持系统对从业者表现和患者结局的影响:一项系统综述。
JAMA. 2005 Mar 9;293(10):1223-38. doi: 10.1001/jama.293.10.1223.
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How to design computerized alerts to safe prescribing practices.如何设计关于安全处方操作的计算机化警报。
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