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digital.ahrq.gov/sites/default/files/docs/biblio/09-0069-EF_1.pdf
June 01, 2009 - dosage
recommendations, alerts for drug-drug interactions
Followup management Corollary orders, reminders … kinds
of information may be immediately at the point of care—for example, delivering an alert about
drug-drug … Tiering drug-drug interaction alerts by severity
increases compliance rates. … Reducing and preventing adverse drug events to
decrease hospital costs. … Adverse drug events in hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/page/09-0069-EF_1.pdf
June 01, 2009 - dosage
recommendations, alerts for drug-drug interactions
Followup management Corollary orders, reminders … kinds
of information may be immediately at the point of care—for example, delivering an alert about
drug-drug … Tiering drug-drug interaction alerts by severity
increases compliance rates. … Reducing and preventing adverse drug events to
decrease hospital costs. … Adverse drug events in hospitalized patients.
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digital.ahrq.gov/sites/default/files/docs/biblio/biondich.ppt
May 14, 2013 - improve patient safety
Focused on a topic: medication safety
Focused on a clinical problem: adverse drug … events
Focused on a specific clinical problem: severe drug interactions
Atomic problem: digoxin … and cyclosporine drug interaction
*
Next questions..
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digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webcast011207.pdf
January 12, 2007 - medications, allergies,
weight, and laboratory test results
– Clinical decision support based on drug … , within drug class, or
involve components of combination
products
Codeine AND Tylenol #3
Single … administration (e.g., oral,
intramuscular, intravenous)
route Tylenol to be
intravenously
administered
Drug-drug … generally used
Contraindicated
route of
administration
� Not available; requires fully codified script
Drug-drug … interaction (DDI)
� Generally available; generally used
Drug-food warning � Generally available;
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-alerts-quick-reference-guide.pdf
March 01, 2009 - renal insufficiency: the likelihood of a
patient receiving at least one dose of a
contraindicated drug … after
alert implementation.12 In the outpatient setting,
research has shown that in response to
drug–laboratory … Improving laboratory monitoring at initiation of
drug therapy in ambulatory care: a randomized
trial … Characteristics and consequences of drug allergy
alert overrides in a computerized physician order … Reasons
provided by prescribers when overriding drug
drug interaction alerts.
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2012
January 01, 2012 - interactive voice response (IVR) system to monitor the safety and effectiveness of treatment with Food and Drug … inappropriate overrides varied by the type of alert, with the highest rates being for renal substitutions, drug … - drug interactions, and age-related substitutions.
-
digital.ahrq.gov/sites/default/files/docs/publication/BarrierstoMeaningfulUseAppendixB.pdf
August 29, 2012 - electronically
More than 65% of all permissible prescriptions
written by the EP are compared to at least one
drug … The EP has enabled and implemented the
functionality for drug-drug and drug-allergy
interaction checks
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digital.ahrq.gov/sites/default/files/docs/activity/u18hs016970-bates-annual-summary-2012.pdf
January 01, 2012 - The goal of this project was
to increase surveillance evidence for recently-released Food and Drug Administration-approved … reconciliation module in ambulatory EHRs to reduce post-
discharge medication discrepancies and adverse drug … decision rules in the areas of preventive care
reminders and medication decision-support rules related to drug-drug
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-computer-based-0
March 11, 2000 - Evaluation of computer based clinical decision support system and risk chart for management of hypertension in primary care: randomised controlled trial
Authors: Montgomery AA, Fahey T, Peters TJ, MacIntosh C, Sharp DJ Journal: BMJ Publication Date: 2000 Mar 11 Volume: 320 Issue: 7236 Pages: 686-90 HI…
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Most participants strongly agreed with the importance of setting the drug-drug interaction alert
level … Most of the participants reported that their practice had adjusted the drug-drug interaction alert
level … Configure drug-drug interaction alert levels by the practice. … VR pointed to drug dictionaries, drug-
drug interaction, and preventive service recommendations as domains … Alert fatigue was
acknowledged as a major concern, particularly for drug-condition and drug-drug interactions
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - The goal of this project is to increase surveillance evidence for recently-released Food and Drug Administration-approved … The team reviewed a large dataset of adverse drug events involving multiple drugs in community hospitals … to build on previous research and develop recommendations to prevent adverse drug events.
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
January 01, 2012 - Scope: The use of laboratory testing to ensure the safety and effectiveness of drug therapy and
the … Purpose
Objectives of Study
Medication errors and preventable adverse drug events occur commonly … Laboratory monitoring – the use of laboratory testing to ensure the safety and
effectiveness of drug … Developed alerts to improve laboratory monitoring at the initiation of drug therapy. … Developed alerts to improve laboratory monitoring for ongoing drug therapy.
-
digital.ahrq.gov/sites/default/files/docs/activity/u19hs021094-bates-annual-summary-2012.pdf
January 01, 2012 - interactive voice response (IVR) system to monitor the safety and effectiveness of treatment with Food
and Drug … inappropriate overrides varied by the type of alert, with the highest rates being for renal substitutions, drug … -
drug interactions, and age-related substitutions.
-
digital.ahrq.gov/ahrq-funded-projects/e-prescribing-impact-patient-safety-use-and-cost/annual-summary/2009
January 01, 2009 - physicians holds promise in terms of reduced cost and increased patient safety by providing real-time drug … Early results also indicated that patients getting e-prescriptions had less severe potential drug-drug
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs017157-carrow-annual-summary-2012.pdf
January 01, 2012 - Drug Enforcement Administration (DEA) as it implements
the Interim Final Rule (75 FR 16236) (IFR) governing … Grant Carrow and the Massachusetts Department of Public Health (MDPH)
Drug Control Program, partnered … some of the problems associated with written prescriptions for controlled substances (e.g., incorrect
drug
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs022335-juckett-final-report-2017.pdf
January 01, 2017 - (Simple examples would include: Drug name, Drug
dose, Drug schedule, Pain intensity, Outcome pain relief … (Examples include: has dose, has
drug schedule, has quality, has effect, has target, has value, has … recognition of medications in the progress notes and prescriptions issued by
MPC revealed 663,585 drug … To extract these drug instances two ontologies were used; RXNORM and SNOMED that
were accessed through … M M M M 6.5 0.93
Surgery M M M M 5.1 0.94
Drug +
Surgery L H L H 4.1
0.93
Drug +
Surgery
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/clinical-decision-support-systems-cdss/expert
Infectious disease-specific CDS systems need to be able to adhere to organism and drug name hierarchy
-
digital.ahrq.gov/sites/default/files/docs/activity/e_prescribing_impact_2009_update_2.pdf
January 01, 2009 - physicians holds promise in terms of reduced cost and
increased patient safety by providing real-time drug … Early
results also indicated that patients getting e-prescriptions had less severe potential drug-drug
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_016970_bates_pdf_3.pdf
January 01, 2011 - eduCation and researCh on therapeutiCs (Certs)
program (u18)
evidence for recently-released Food and Drug … The team reviewed a large
dataset of adverse drug events involving multiple drugs in community hospitals … researCh on therapeutiCs (Certs)
program (u18)
research and develop recommendations to prevent adverse drug
-
digital.ahrq.gov/sites/default/files/docs/20070917%20Electronic%20Prescribing%20Standards.pdf
September 17, 2007 - senior vice president and communications officer for RxHub, the nationwide
electronic prescription drug … The passage of the Medicare Prescription Drug Improvement and Modernization Act of 2003, which I’ll … It is very difficult to map NDC codes, especially across different drug database vendors. … That is most likely because the drug-
drug interaction alerts that existed were not being driven by the … That’s what the SCD is, it’s a semantic clinical drug.