Implementing a commercial rule base as a medication order safety net.
A commercial rule base was used to identify drug orders exceeding standard dosage limits at a university hospital. Initially, there were substantial numbers of clinically insignificant alerts. A method for altering the commercial rule base will be implemented to increase rule specificity for problematic drugs. With minor modifications, commercial rule bases can be used to rapidly create a safety net that screens drug orders for excessive dosages, while preserving the rule architecture for more finely tuned clinical decision support.
Reichley
Richard M
RM
Center for Healthcare Quality Effectiveness, BJC Healthcare and the Department of Medicine, Washington Univ School of Medicine, St. Louis, MO, USA.
Resetar
Ervina
E
Doherty
Joshua
J
Noirot
Laura A
LA
Micek
Scott
S
Augustin
Kristan
K
Fraser
Victoria J
VJ
Dunagan
W Claiborne
WC
Bailey
Thomas C
TC
D004360:Drug Therapy, Computer-Assisted; D006785:Hospitals, University; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control; D008510:Medication Systems, Hospital; D017010:Reminder Systems