Strategies for reducing nuisance alerts in a dose checking application.
Commercial rule bases can be implemented to identify medication orders that fall outside recommended dosage ranges, but they are likely to produce an excessive number of nuisance and clinically insignificant alerts. Strategies for customizing commercial dosing rules can be implemented to minimize this problem. This paper describes specific strategies implemented in a dose checking application necessary for achieving a clinically acceptable alert rate.
Resetar
Ervina
E
Washington University School of Medicine, Department of Internal Medicine, St. Louis, MO, USA.
Reichley
Richard M
RM
Noirot
Laura A
LA
Doherty
Joshua A
JA
Dunagan
Wm C
WC
Bailey
Thomas C
TC
D016303:Clinical Pharmacy Information Systems; D003404:Creatinine / Q000378:metabolism; D020000:Decision Support Systems, Clinical; D004360:Drug Therapy, Computer-Assisted; D006764:Hospitals, Community; D006785:Hospitals, University; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control; D008510:Medication Systems, Hospital; D004364:Pharmaceutical Preparations / Q000008:administration & dosage*; D017010:Reminder Systems; D012189:Retrospective Studies
D004364:Pharmaceutical Preparations; D003404:Creatinine