使用临床决策支持系统预防药物不良事件

[ Preventing adverse drug events using clinical decision support systems].

作者信息

Salili Ali Reza, Hammann Felix, Taegtmeyer Anne B

机构信息

1 Medizinische Universitätsklinik, Kantonsspital Aarau.

2 Department Klinische Pharmakologie und Toxikologie, Universität und Universitätsspital Basel.

出版信息

Ther Umsch. 2015 Dec;72(11-12):693-700. doi: 10.1024/0040-5930/a000739.

DOI:10.1024/0040-5930/a000739

PMID:26654813

Abstract

Adverse drug events pose a great risk to patients, are an everyday clinical problem and can have potential/ega/ consequences. Computerized physician order entry or computerized provider order entry (CPOE} in combination with clinical decision support systems {CDSS) are popular and aim to reduce prescribing errors as well as identifying potentially harmful drug drug interactions. The quantifiable benejit these systems bring to patients, has however, yet to be definitively proven. This article focusses on the current standpoint of CPOE-/CDSS, their risks and benefits, the potential for improvement and their perspectives for the future.

摘要

药物不良事件对患者构成巨大风险，是日常临床问题，且可能产生潜在严重后果。计算机化医师医嘱录入或计算机化医疗服务提供者医嘱录入（CPOE）与临床决策支持系统（CDSS）相结合很受欢迎，旨在减少处方错误以及识别潜在有害的药物相互作用。然而，这些系统给患者带来的可量化益处尚未得到明确证实。本文重点关注CPOE - CDSS的当前立场、它们的风险和益处、改进潜力以及未来前景。