Study Set Content:
Because only 57% of the population is aware of the voluntary system of reporting, the FDA switched to a new program called MedWatch:
The FDA Medical Products Reporting Program
the FDA receives reports via mailings, phone calls, faxes, and the
Internet
Pharmacists provided () of the reports
53%
may play an important role in monitoring, identifying, and minimizing ADRs.
Information systems and high-end technology
One system was developed at () to detect potential ADRs.
Brigham and Women’s Hospital
The system was programmed to detect a combination of patient-specific factors and medications that may indicate a patient who has the potential to experience an ADR.
system was developed at Brigham and Women’s Hospital
ADE detection system identified potential ADEs in () of every 1000 admissions.
64
The prescribing physician did not recognize () of the ADEs detected by the system
44%
Computer systems that detect clinically significant drug-drug interactions may also be relevant for reducing
g ADRs
Computer-based applications designed to acquire, store, manage, and display health care related records including all clinical and administrative information entered by practitioners involved in health care delivery
ELECTRONIC HEALTH RECORD SYSTEM
Adoption of this system is limited due to high cost of developing and maintaining such system, unclear return on investments, physician resistance, and an inadequate number of individuals trained in information technology.
ELECTRONIC HEALTH RECORD SYSTEM
systems are tools that provide secure, real-time, pointof-care and patient-centered information for all health care providers.
EHR
This means that patient information is made available wherever it is needed, 24 hours a day, 7 days a week.
This means that patient information is made available wherever it is needed, 24 hours a day, 7 days a week.
In contrast to paper-based medical records, EHR systems can
remind and advise health care providers
- provide easily retrievable information about care given days or years before
this technology requires the person placing an order for a patient to do so using an information system platform rather than hand-writing or verbally requesting an order ▪ Success in reducing medication errors
COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
Orders for the patient are directly entered by the responsible provider
COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
Orders may include medications, laboratory tests, radiology request, diets, nursing orders, consultation requests, procedures
COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
are a problem of the past, and CPOE can remind the ordering clinician of a patient’s allergy to a specific medication and suggest alternatives or how to manage a reaction.
Illegible hand-written prescriptions
▪ It can alert the clinician of (), educate on the severity and mechanism of action, and provide advice on managing them.
drug-drug interactions
It can () against the patient’s physical parameters, laboratory parameters, and previous dosing history and then warn the clinician of potential problems and how to alter a course of therapy.
check dosages
