Computerized reminders reduce the use of medications during shortages

被引：25

作者：

Bogucki, B

Jacobs, BR

Hingle, J

机构：

[1] Childrens Hosp, Med Ctr, Div Crit Care Med, Cincinnati, OH 45229 USA

[2] Childrens Hosp, Med Ctr, Dept Pharm, Cincinnati, OH 45229 USA

[3] Univ Cincinnati, Coll Med, Cincinnati, OH USA

来源：

JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION | 2004年 / 11卷 / 04期

关键词：

D O I：

10.1197/jamia.M1531

中图分类号：

TP [自动化技术、计算机技术];

学科分类号：

0812 ;

摘要：

Medication shortages pose serious problems in health care. This study examines the impact of a computer-based reminder in addressing a national methylprednisolone shortage. An alert was designed and implemented in a computerized order entry platform at a children's hospital. The alert informed physicians of the shortage and provided an alternative prescribing pathway. Data regarding the number and type of parenteral corticosteroid prescriptions were collected for a one-month period before and after the alert was implemented. The alert resulted in a 55% relative reduction in methylprednisolone use and an average reduction of more than three orders each day. Dexamethasone and hydrocortisone, the recommended alternative medications, increased in use by 12% and 49%, respectively. The alert resulted in a $36,552 annualized cost reduction to the institution. Similar alert applications have great potential for effectively altering physician prescribing behavior.

引用

页码：278 / 280

页数：3

共 11 条

[1]

*AM SOC HLTH SYST, 2003, GLUC INJ

[2] Evaluating the capability of information technology to prevent adverse drug events: A computer simulation approach [J].