Issues of decision support in institutional pharmacy systems.
This article discusses the challenges of implementation and maintenance of a decision support system operating within an institutional pharmacy information system. The basic principles of database building and configuration are reviewed. Issues with the common alert systems, allergy, drug interactions, drug-food, and duplicate are discussed. The challenges within dose-ranging programs are also described. Pharmacists are encouraged to develop population-based decision support systems and systems which add value at the individual patient level.
Mackowiak
L R
LR
Dept. of Pharm., Duke University Medical Center, Durham, NC 27710, USA.
Hayward
S L
SL
D016907:Adverse Drug Reaction Reporting Systems; D016303:Clinical Pharmacy Information Systems; D016208:Databases, Factual; D020000:Decision Support Systems, Clinical; D004347:Drug Interactions; D006785:Hospitals, University; D006801:Humans; D009657:North Carolina; D010607:Pharmacy Service, Hospital; D014481:United States