Complexities of Clinical Decision Support Illustrated by Pediatric Dosing Alerts.
Health information technologies, such as computerized clinical decision support (CDS) systems, are being utilized increasingly in pediatric health care institutions as a means of medication error prevention. Most studies have suggested a positive impact of CDS on medication safety, but others have identified complexities that have prevented full optimization of these systems. Recent studies regarding the implementation of pediatric dosing alerts have illustrated the complexities that can be associated with the design, implementation, and refinement of CDS systems. Although CDS dosing alerts have likely improved the safety of medication use in pediatric patients, it is important to be aware of certain limitations of the dosing alert systems. A collaborative effort is required to optimize the effectiveness of CDS dosing alerts.
Virginia Commonwealth University School of Pharmacy, Richmond, VA, USA.
Jeremy S
JS
Stultz
Colleges of Pharmacy and Medicine, Ohio State University and Nationwide Children's Hospital, Columbus, Ohio, USA nahata.1@osu.edu.
Milap C
MC
Nahata
D002648:Child; D020000:Decision Support Systems, Clinical; D006801:Humans; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000517:prevention & control
drug safety; informatics; medical informatics; medication errors; medication safety; pediatrics