title: Strategies for reducing nuisance alerts in a dose checking application.
abstract: 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.
authors.affiliation: Washington University School of Medicine, Department of Internal Medicine, St. Louis, MO, USA.
authors.forename: Ervina
authors.initials: E
authors.lastname: Resetar
authors.forename: Richard M
authors.initials: RM
authors.lastname: Reichley
authors.forename: Laura A
authors.initials: LA
authors.lastname: Noirot
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Doherty
authors.forename: Wm C
authors.initials: WC
authors.lastname: Dunagan
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Bailey
mesh_terms: 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
chemical_list: D004364:Pharmaceutical Preparations; D003404:Creatinine