title: Implementing a commercial rule base as a medication order safety net.
abstract: 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.
authors.affiliation: Center for Healthcare Quality Effectiveness, BJC Healthcare and the Department of Medicine, Washington Univ School of Medicine, St. Louis, MO, USA.
authors.forename: Richard M
authors.initials: RM
authors.lastname: Reichley
authors.forename: Ervina
authors.initials: E
authors.lastname: Resetar
authors.forename: Joshua
authors.initials: J
authors.lastname: Doherty
authors.forename: Laura A
authors.initials: LA
authors.lastname: Noirot
authors.forename: Scott
authors.initials: S
authors.lastname: Micek
authors.forename: Kristan
authors.initials: K
authors.lastname: Augustin
authors.forename: Victoria J
authors.initials: VJ
authors.lastname: Fraser
authors.forename: W Claiborne
authors.initials: WC
authors.lastname: Dunagan
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bailey
mesh_terms: D004360:Drug Therapy, Computer-Assisted; D006785:Hospitals, University; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control; D008510:Medication Systems, Hospital; D017010:Reminder Systems