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Safer prescription of drugs: impact of the PREFASEG system to aid clinical decision-making in primary care in Catalonia

التفاصيل البيبلوغرافية
العنوان: Safer prescription of drugs: impact of the PREFASEG system to aid clinical decision-making in primary care in Catalonia
المؤلفون: Pons‑Mesquida, M. Àngels, Oms Arias, Míriam, Diogène Fadini, Eduard, Figueras, Albert
المساهمون: Institut Català de la Salut, Pons-Mesquida MÀ Unitat de Coordinació i Estratègia del Medicament (UCEM), Institut Català de la Salut, Barcelona, Spain. Departament de Farmacologia, Terapèutica i Toxicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain. Oms-Arias M Unitat de Coordinació i Estratègia del Medicament (UCEM), Institut Català de la Salut, Barcelona, Spain. Diogène-Fadini E Servei de Farmacologia Clínica, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Institut Català de la Salut, Barcelona, Spain. Departament de Farmacologia, Terapèutica i Toxicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain. Figueras A Departament de Farmacologia, Terapèutica i Toxicologia, Universitat Autònoma de Barcelona, Bellaterra, Spain, Vall d'Hebron Barcelona Hospital Campus
المصدر: Scientia
بيانات النشر: BMC
سنة النشر: 2021
مصطلحات موضوعية: Atenció primària, Assistència sanitària - Presa de decisions, Medicaments - Prescripció, ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Diagnosis::Clinical Decision-Making, INFORMATION SCIENCE::Information Science::Informatics::Medical Informatics::Medical Informatics Applications::Information Systems::Medical Records Systems, Computerized::Medical Order Entry Systems, PUBLIC HEALTH::Health Care (Public Health)::Health Care Levels::Health Care (Public Health)::Primary Health Care, TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::diagnóstico::toma de decisiones clínicas, CIENCIA DE LA INFORMACIÓN::Ciencias de la información::informática::informática médica::aplicaciones de la informática médica::sistemas de información::sistemas informatizados de historias clínicas::sistemas de entrada de órdenes médicas, SALUD PÚBLICA::atención a la salud (salud pública)::niveles de atención a la salud::atención a la salud (salud pública)::atención primaria de la salud
الوصف: Clinical decision support system; Electronic prescription; Pharmacovigilance ; Sistema de apoyo a la decisión clínica; Prescripción electrónica; Farmacovigilancia ; Sistema de suport a la decisió clínica; Prescripció electrònica; Farmacovigilància ; Background In 2008, the Institut Català de la Salut (ICS, Catalan Health Institute) implemented a prescription decision support system in its electronic clinical workstation (ECW), which automatically generates online alerts for general practitioners when a possible medication-related problem (MRP) is detected. This tool is known as PREFASEG, and at the time of beginning a new treatment, it automatically assesses the suitability of the treatment for the individual patient. This analysis is based on ongoing treatments, demographic characteristics, existing pathologies, and patient biochemical variables. As a result of the assessment, therapeutic recommendations are provided. The objective of this study is to present the PREFASEG tool, analyse the main alerts that it generates, and determine the degree of alert acceptance. Methods A cross-sectional descriptive study was carried out to analyse the generation of MRP-related alerts detected by PREFASEG during 2016, 2017, and 2018 in primary care (PC) in Catalonia. The number of MRP alerts generated, the drugs involved, and the acceptance/rejection of the alerts were analysed. An alert was considered "accepted" when the medication that generated the alert was not prescribed, thereby following the recommendation given by the tool. The MRP alerts studied were therapeutic duplications, safety alerts issued by the Spanish Medicines Agency, and drugs not recommended for use in geriatrics. The prescriptions issued by 6411 ICS PC physicians who use the ECW and provide their services to 5.8 million Catalans through 288 PC teams were analysed. Results During the 3 years examined, 67.2 million new prescriptions were analysed, for which PREFASEG generated 4,379,866 alerts (1 for every 15 new treatments). A total of 1,222,159 alerts ...
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: English
تدمد: 1472-6947
العلاقة: BMC Medical Informatics and Decision Making;21; https://doi.org/10.1186/s12911-021-01710-8Test; Pons-Mesquida MÀ, Oms-Arias M, Diogène-Fadini E, Figueras A. Safer prescription of drugs: impact of the PREFASEG system to aid clinical decision-making in primary care in Catalonia. BMC Med Inform Decis Mak. 2021 Dec 15;21:349.; https://hdl.handle.net/11351/7602Test; 000730554200001
DOI: 10.1186/s12911-021-01710-8
الإتاحة: https://doi.org/10.1186/s12911-021-01710-8Test
https://hdl.handle.net/11351/7602Test
حقوق: Attribution 4.0 International ; http://creativecommons.org/licenses/by/4.0Test/ ; info:eu-repo/semantics/openAccess
رقم الانضمام: edsbas.18589E4B
قاعدة البيانات: BASE
الوصف
تدمد:14726947
DOI:10.1186/s12911-021-01710-8