Medication safety and knowledge‐based functions: a stepwise approach against information overload

Abstract

A stepwise assisting intervention received positive user acceptance. Some intervention steps have been seldom used, others quite often. We think that we were able to avoid over-alerting and work flow intrusion in a critical ED environment.

Using a Machine Learning System to Identify and Prevent Medication Prescribing Errors: A Clinical and Cost Analysis Evaluation

“…tient is taking (medication reconciliation), 13 , 14 identification of the contradictions between the structured and narrative components (providers' notes) of electronic prescriptions (internal prescription discrepancies), 15 and evaluation of the opportunities for enhancing the integration and presentation of drug safety information 16 and improving the quality and consistency of medication reviews performed by pharmacists. 17 Machine learning capabilities are increasingly applied in health care.…”

Comparative evaluation of different medication safety measures for the emergency department: physicians’ usage and acceptance of training, poster, checklist and computerized decision support

“…As a first measure, an electronic infobutton was implemented to show brief information regarding critical contraindications and DDIs similar to the paper-based checklist. Additional electronic measures included one checkbox for each drug to prompt the physician if the drug had a valid indication based on the patient status, one checkbox for the patient case sheet itself to prompt the physician if an adverse drug event (ADE) was likely and finally a “MediCheck” button to send patient data to the commercial CDSS and DIS for a comprehensive workup [34]. The new electronic case sheet with these medication safety functions was made available at all five work stations in ED (three stationary PCs located in the resuscitation room and two computers on wheels).…”

Data Requirements for the Correct Identification of Medication Errors and Adverse Drug Events in Patients Presenting at an Emergency Department

“…Based on the findings of the first study phase measures to improve patient safety were developed and implemented. In study phase II checklists and teaching sessions were used according to the "Pareto principle" to address the most common and relevant issues identified in the first study phase [10], in study phase III these measures were complemented by electronic tools [29]. The detailed methodology including the event adjudication and the false negative rate has been previously described [1,5,10].…”