Abdulkadir Sazan Abass, Wettermark Björn, Hammar Tora
Department of Pharmacy, Faculty of Pharmacy, Uppsala University, 752 37 Uppsala, Sweden.
The eHealth Institute, Department of Medicine and Optometry, Linnaeus University, 391 82 Kalmar, Sweden.
Pharmacy (Basel). 2023 Feb 14;11(1):35. doi: 10.3390/pharmacy11010035.
The clinical support system Electronic Expert Support (EES) is available at all pharmacies in Sweden to examine electronic prescriptions when dispensing to prevent drug-related problems (DRPs). DRPs are common, and result in patient suffering and substantial costs for society. The aim of this research was to study the use of EES for the pediatric population (ages 0-12 years), by describing what types of alerts are generated for potential DRPs, how they are handled, and how the use of EES has changed over time. Data on the number and categories of EES analyses, alerts, and resolved alerts were provided by the Swedish eHealth Agency. The study shows that the use of EES has increased. The most common type of alert for a potential DRP among pediatric patients was regarding high doses in children (30.3% of all alerts generated). The most common type of alert for a potential DRP that was resolved among pediatrics was therapy duplication (4.6% of the alerts were resolved). The most common reason for closing an alert was dialogue with patient for verification of the treatment (66.3% of all closed alerts). Knowledge of which type of alerts are the most common may contribute to increased prescriber awareness of important potential DRPs.
临床支持系统电子专家支持（EES）在瑞典所有药店均可使用，用于在配药时检查电子处方，以预防药物相关问题（DRP）。DRP很常见，会给患者带来痛苦，并给社会造成巨大成本。本研究的目的是通过描述针对潜在DRP生成的警报类型、如何处理这些警报以及EES的使用随时间如何变化，来研究EES在儿科人群（0至12岁）中的使用情况。瑞典电子健康局提供了有关EES分析、警报和已解决警报的数量及类别的数据。研究表明，EES的使用有所增加。儿科患者中潜在DRP最常见的警报类型是儿童用药剂量过高（占所有生成警报的30.3%）。儿科中已解决的潜在DRP最常见的警报类型是治疗重复（4.6%的警报得到解决）。关闭警报最常见的原因是与患者对话以核实治疗情况（占所有已关闭警报的66.3%）。了解哪些类型的警报最常见可能有助于提高开处方者对重要潜在DRP的认识。
