Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region—Bridging the gap between knowledge and practice

Sjöborg, Bengt; Bäckström, Tobias; Arvidsson, L; Andersén-Karlsson, Eva; Blomberg, Liselott; Eiermann, Birgit; Eliasson, Marie; Henriksson, Kjell; Jacobsson, Lennart; Jacobsson, Ulf; Julander, Margaretha; Kaiser, Per-Olof; Landberg, Carina; Larsson, Jonas; Molin, Björn; Gustafsson, Lars L.

doi:10.1016/j.ijmedinf.2006.02.010

Cited by 43 publications

(35 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It states that in the 6 European member states studied, 100 000 yearly inpatient adverse drug events (ADE´s) could be avoided through usage of computerised physician order entry systems (CPOEs) with clinical decision support (CDS), which would correspond to a yearly saving of 300 million € (Gartner, 2009). This report combined with other studies and reviews (Sjöborg et al, 2007;Kelly et al, 2006) underlines the complexity of integration and implementation, including local conditions, the involvement of stakeholders and adoption and measurements of changes, all of which have 140 to be tackled for a beneficial usage of the technology. The Gartner report envisages that increasing costs within the health care sector will accelerate the efforts to develop new technologies as well as lead to a beneficial usage of existing systems.…”

Section: Introductionmentioning

confidence: 62%

“…drug-drug interactions, drugs & lactation or drugs & breast feeding. The DDI database Sfinx is integrated into the CDS system Janus toolbar, providing patient specific automatic alerts during drug prescribing (Sjöborg et al, 2007). In figure 4 we describe an example of the decision support system provided through Janus toolbar integrated into one EHR system in Stockholm County Council.…”

Section: Decision Support Systems 150mentioning

confidence: 99%

“…Therefore, the implementation and use of any CDS system should be linked to the establishment of a medical management, maintenance and quality assurance system, which leads to discovering, analysing and foreseeing possible errors. Being responsible for paying the drug bill Stockholm County Council, the largest health care provider in Sweden, implemented a health care strategy in 1997 including the development of an IT architecture (Sjöborg et al, 2007). The aim was to provide numerous services to the prescribers to ensure safe and effective drug prescribing.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge Bases for Clinical Decision Support in Drug Prescribing – Development, Quality Assurance, Management, Integration, Implementation and Evaluation of Clinical Value

Eiermann¹,

Rahmner²,

Korkmaz³

et al. 2010

Decision Support Systems

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 62%

Section: Decision Support Systems 150mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Knowledge Bases for Clinical Decision Support in Drug Prescribing – Development, Quality Assurance, Management, Integration, Implementation and Evaluation of Clinical Value

Eiermann¹,

Rahmner²,

Korkmaz³

et al. 2010

Decision Support Systems

View full text Add to dashboard Cite

“…For the development of SFINX, the Department of Clinical Pharmacology at Karolinska Institutet and the Drug Interaction Unit at the Turku University Hospital, both of which are centers of excellence for clinical pharmacology, joined forces with the Department of Drug Management and Informatics at the Stockholm County Council, which is well-known as a provider of clinical decision support systems in Stockholm and throughout Sweden [29,30]. Drug-drug interaction databases integrated into electronic health-record systems are useful tools to support general practitioners and improve drug-prescribing performance [15].…”

Section: Discussionmentioning

confidence: 99%

SFINX—a drug-drug interaction database designed for clinical decision support systems

Böttiger

Laine

Andersson

et al. 2009

Eur J Clin Pharmacol

125

142

View full text Add to dashboard Cite

Objective The aim was to develop a drug-drug interaction database (SFINX) to be integrated into decision support systems or to be used in website solutions for clinical evaluation of interactions. Methods Key elements such as substance properties and names, drug formulations, text structures and references were defined before development of the database. Standard operating procedures for literature searches, text writing rules and a classification system for clinical relevance and documentation level were determined. ATC codes, CAS numbers and country-specific codes for substances were identified and quality assured to ensure safe integration of SFINX into other data systems. Much effort was put into giving short and practical advice regarding clinically relevant drug-drug interactions.Results SFINX includes over 8,000 interaction pairs and is integrated into Swedish and Finnish computerised decision support systems. Over 31,000 physicians and pharmacists are receiving interaction alerts through SFINX. User feedback is collected for continuous improvement of the content. Conclusion SFINX is a potentially valuable tool delivering instant information on drug interactions during prescribing and dispensing.

show abstract

“…SFINX includes approximately 16 000, mainly pharmacokinetic, interactions and is updated four times a year. The web application is available free of charge in Sweden through the Janusinfo website (www.janusinfo.se), which is promoted to all health care professionals [13]. Anyone with an e-mail account can register as a user, including patients or their relatives.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of usage patterns and user perception of the drug–drug interaction database SFINX

Andersson

Böttiger

Bastholm‐Rahmner

et al. 2015

International Journal of Medical Informatics

View full text Add to dashboard Cite

PurposeThe aim of the present study was to investigate how prescribers and pharmacists use and perceive the drug-drug interaction database SFINX in their clinical work. MethodsA questionnaire was developed with questions aimed at the usage of SFINX, and the perceptions of the database. The questionnaire was sent out to all registered users of the web application of SFINX.The anonymous answers from the target users, prescribers and pharmacists were summarized using descriptive statistics. Statistical analysis was performed on age and gender differences for some questions regarding different usage patterns. ResultsThe questionnaire was sent to 11 763 registered SFINX users. The response rate was 23 %, including 1871 answers from prescribers or pharmacists. SFINX was reported to be used at least weekly or more often by 45% of the prescribers and 51% of the pharmacists. Many prescribers reported using the database during the patient consultation (60%) or directly before or after (56%). Among the prescribers, 74% reported that the information received made them change their action at least sometimes. About 20% of the prescribers and 25% of the pharmacists considered the information as irrelevant sometimes or more often. ConclusionMost prescribers and pharmacists reported using SFINX in direct association with a patient consultation. Information received by using SFINX makes prescribers and pharmacists change their handling of patients. DDI databases with relevant information about patient handling might improve drug treatment outcome.

show abstract

Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region—Bridging the gap between knowledge and practice

Cited by 43 publications

References 34 publications

Knowledge Bases for Clinical Decision Support in Drug Prescribing – Development, Quality Assurance, Management, Integration, Implementation and Evaluation of Clinical Value

Knowledge Bases for Clinical Decision Support in Drug Prescribing – Development, Quality Assurance, Management, Integration, Implementation and Evaluation of Clinical Value

SFINX—a drug-drug interaction database designed for clinical decision support systems

Evaluation of usage patterns and user perception of the drug–drug interaction database SFINX

Contact Info

Product

Resources

About