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使用COSTAR的诊所中的药物相互作用。

Drug interactions in a clinic using COSTAR.

作者信息

Dambro M R, Kallgren M A

机构信息

University of Arizona, Department of Family and Community Medicine, Tucson 85719.

出版信息

Comput Biol Med. 1988;18(1):31-8. doi: 10.1016/0010-4825(88)90054-6.

DOI:10.1016/0010-4825(88)90054-6
PMID:3335126
Abstract

In a study involving 1499 patients in a family office, prescription data obtained from a computerized record system (COSTAR) were analyzed to determine the drug interaction rate. While prior studies have adequately determined that drug interactions occur frequently in most medical offices this paper presents a methodology for performing such analyses in a very short period of time. By using a computer at all stages, the analysis was computed in less than four weeks and with more accuracy than would otherwise be possible. In addition to the demonstration of a method, the results of our analysis are also of interest. Overall 138 (9.2%) of the study patients were prescribed drugs with known interaction potential and among this group, 123 (72%) had interactions considered to be of "moderate" clinical significance and 36 (17%) had interactions considered to be of "major" significance.

摘要

在一项针对一家家族诊所1499名患者的研究中,分析了从计算机化记录系统(COSTAR)获取的处方数据,以确定药物相互作用发生率。虽然先前的研究已充分确定药物相互作用在大多数医疗诊所中频繁发生,但本文提出了一种在极短时间内进行此类分析的方法。通过在所有阶段使用计算机,分析在不到四周的时间内完成,且比其他方式更准确。除了展示一种方法外,我们的分析结果也很有意义。总体而言,138名(9.2%)研究患者被开具了具有已知相互作用可能性的药物,在这一组中,123名(72%)患者的相互作用被认为具有“中等”临床意义,36名(17%)患者的相互作用被认为具有“重大”意义。

相似文献

1
Drug interactions in a clinic using COSTAR.使用COSTAR的诊所中的药物相互作用。
Comput Biol Med. 1988;18(1):31-8. doi: 10.1016/0010-4825(88)90054-6.
2
Orthopedic office medical records using COSTAR.使用COSTAR系统的骨科门诊病历。
Orthop Clin North Am. 1986 Oct;17(4):581-90.
3
An unsuccessful experience with computerized medical records in an academic medical center.一所学术医疗中心在计算机化医疗记录方面的一次失败经历。
J Med Educ. 1988 Aug;63(8):617-23. doi: 10.1097/00001888-198808000-00005.
4
Dissemination of COSTAR. Promises and realities.COSTAR的传播。承诺与现实。
J Med Syst. 1986 Jun;10(3):265-9. doi: 10.1007/BF00992821.
5
Implementation of COSTAR in an academic group practice of general pediatrics.COSTAR在一个普通儿科的学术团体实践中的实施。
MD Comput. 1993 Jan-Feb;10(1):23-7.
6
Information management in ambulatory care: the nurse and computerized records.门诊护理中的信息管理:护士与计算机化记录
Proc Annu Symp Comput Appl Med Care. 1991:941-2.
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Exploratory analysis of the medical record.病历的探索性分析
Med Inform (Lond). 1983 Jul-Sep;8(3):163-71. doi: 10.3109/14639238309016080.
8
Should the complete medical record be computerized in family practice? An opposing view.家庭医疗中的完整病历应该计算机化吗?一种反对观点。
J Fam Pract. 1990 Apr;30(4):460-4.
9
Effect of a computerized ambulatory medical record system on the validity of claims data.计算机化门诊病历系统对索赔数据有效性的影响。
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A comprehensive, automated, record-keeping system for the orthopedic office.一个用于骨科诊所的全面、自动化的记录保存系统。
Orthop Clin North Am. 1986 Oct;17(4):553-65.

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