胺碘酮药物警戒通过智能电子健康记录应用。

Q3 Medicine Wisconsin Medical Journal Pub Date : 2023-09-01
Olivia R Newgaard, Rajeev Chaudhry, Jenny A Schutte, Richard Arndt, Jennifer R Rich, Andrew D Calvin, Richard D Hanna
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引用次数: 0

摘要

背景:胺碘酮是最有效和最常用的抗心律失常药物。鉴于其毒性风险,建议进行常规监测,但在临床实践中难以确保。方法:我们创建了一个智能应用程序,建立在我们的电子健康记录中,该应用程序通过我们卫生系统中的临床医生的有效门诊处方来识别每一位在世的患者。该应用程序旨在识别在推荐监测中出现失误的患者,并便于安排逾期检测。结果:随着应用程序的使用,逾期监测检查的患者比例下降,肺功能检查改善最大。讨论:通过使用电子健康记录的可编程功能,实施一项监测和减轻胺碘酮不良反应的计划是可行的。
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Amiodarone Pharmacovigilance Through an Intelligent Electronic Health Record Application.

Background: Amiodarone is the most effective and commonly used antiarrhythmic medication. Given its risk of toxicity, routine monitoring is recommended but is challenging to ensure in clinical practice.

Methods: We created an intelligent application, built within our electronic health record, that identified every living patient with an active outpatient prescription by a clinician in our health system. The application was designed to identify patients with lapses in recommended monitoring and facilitate scheduling of overdue testing.

Results: The percentage of patients with overdue monitoring tests decreased with use of the application, with greatest improvement in pulmonary function testing.

Discussion: Implementing a program to monitor and mitigate adverse reactions to amiodarone by using programable features of an electronic health record is feasible.

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来源期刊
Wisconsin Medical Journal
Wisconsin Medical Journal Medicine-Medicine (all)
CiteScore
1.30
自引率
0.00%
发文量
72
期刊介绍: The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.
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