Terpening Chris
From the Departments of Family Medicine and Clinical Pharmacy, West Virginia University Charleston Division, Charleston.
South Med J. 2016 Oct;109(10):648-652. doi: 10.14423/SMJ.0000000000000530.
Allergies to various antibiotics are reported by a substantial proportion of patients. As a result, clinical decision support programming generates frequent warnings when prescribing within electronic medical records. For a variety of reasons, the majority of these warnings may be inappropriate. Our improved understanding of the underlying physiology of allergic processes reveals that the majority of cross-reacting antibiotic allergies are implausible. Appropriate history taking and workup can invalidate many more warnings. Electronic medical records ideally should permit documentation that would facilitate more accurate entry and eliminate similar future warnings.
相当一部分患者报告对各种抗生素过敏。因此，临床决策支持程序在电子病历中开处方时会频繁发出警告。由于种种原因，这些警告中的大多数可能并不恰当。我们对过敏过程潜在生理学的进一步了解表明，大多数交叉反应性抗生素过敏是不合理的。适当的病史采集和检查可以使更多警告无效。理想情况下，电子病历应允许进行记录，以便更准确地录入信息并消除未来类似的警告。
