Miyo Kengo, Kawazoe Yoshimasa, Yamaguchi Izumi, Tatsukawa Akimichi, Ohe Kazuhiko
Department of Planning, Information and Management, the University of Tokyo Hospital, Tokyo Japan.
Stud Health Technol Inform. 2013;192:1030.
Medication alert systems have been implemented worldwide. The purpose of this study is evaluation of the medication alert systems from a clinical perspective. We surveyed physicians with regard to their reactions to the medication alerts. We collected the revised prescription information and assessed risk avoidance in all cases. The system reviewed 51,006 prescriptions and produced 16,718 physician alerts related to 13,823 prescriptions over the course of 1 month. We identified 45 prescriptions that were revised following the alert and four cases in which patient treatment may have been discontinued or adverse drug events (ADEs) may have occurred if the alerts had not been issued. We demonstrated that the system prevented these potential medication errors. This study adopted a clinical perspective and demonstrated that a real-time alert system can contribute to prevention of ADEs.
药物警报系统已在全球范围内实施。本研究的目的是从临床角度评估药物警报系统。我们就医生对药物警报的反应进行了调查。我们收集了修订后的处方信息，并评估了所有病例中的风险规避情况。该系统在1个月的时间里审查了51,006份处方，并生成了与13,823份处方相关的16,718次医生警报。我们确定了45份在警报后被修订的处方，以及4例如果未发出警报患者治疗可能中断或可能发生药物不良事件（ADE）的情况。我们证明该系统预防了这些潜在的用药错误。本研究采用了临床视角，并证明实时警报系统有助于预防药物不良事件。
