TY - JOUR
T1 - Exploring the utility of automated drug alerts in home healthcare.
AU - Feldman, Penny Hollander
AU - McDonald, Margaret
AU - Rosati, Robert J.
AU - Murtaugh, Christopher
AU - Kovner, Christine
AU - Goldberg, Judith D.
AU - King, Lori
PY - 2006
Y1 - 2006
N2 - Computerized drug utilization review (DUR) can potentially reduce adverse drug events. We examined automated DUR for home healthcare patients with diabetes or hypertension. Sixty-eight percent of diabetes patients and 50.7% of hypertension patients triggered severe, moderate, or duplicative alerts. Among diabetes patients, 74.3% of duplicative alerts were trivial or inappropriate, compared with 3.9% among hypertension patients. Experts judged that 40.5% of high-risk diabetes patients and 53.6% of hypertension patients had alerts requiring nurse follow-up. Adequate follow-up was significantly lower for the former. The relationship between inappropriate alerts and poorer follow-up reinforces the need for more specific alert systems to focus clinicians' attention on clinically important alerts.
AB - Computerized drug utilization review (DUR) can potentially reduce adverse drug events. We examined automated DUR for home healthcare patients with diabetes or hypertension. Sixty-eight percent of diabetes patients and 50.7% of hypertension patients triggered severe, moderate, or duplicative alerts. Among diabetes patients, 74.3% of duplicative alerts were trivial or inappropriate, compared with 3.9% among hypertension patients. Experts judged that 40.5% of high-risk diabetes patients and 53.6% of hypertension patients had alerts requiring nurse follow-up. Adequate follow-up was significantly lower for the former. The relationship between inappropriate alerts and poorer follow-up reinforces the need for more specific alert systems to focus clinicians' attention on clinically important alerts.
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U2 - 10.1111/j.1945-1474.2006.tb00592.x
DO - 10.1111/j.1945-1474.2006.tb00592.x
M3 - Article
C2 - 16681298
AN - SCOPUS:33744990373
SN - 1062-2551
VL - 28
SP - 29
EP - 40
JO - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
JF - Journal for healthcare quality : official publication of the National Association for Healthcare Quality
IS - 1
ER -