Prescription of amiodarone through a computerized template that includes both decision support and executive functions improves the monitoring for toxicities

The antiarrhythmic drug amiodarone causes severe side effects that warrant active monitoring. In a given patient, monitoring for amiodarone toxicities involves checking past results of five laboratory/imaging tests and reordering four of these tests every 6 to 12 month, a process that is both comple...

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Bibliographic Details
Published in:AMIA ... Annual Symposium proceedings 2003, p.1020
Main Authors: Stewart, Kendra, Loftus, Shawn, DeLisle, Sylvain
Format: Article
Language:English
Subjects:
Amiodarone - adverse effects
Amiodarone - therapeutic use
Anti-Arrhythmia Agents - adverse effects
Anti-Arrhythmia Agents - therapeutic use
Drug Monitoring - methods
Drug Prescriptions
Drug Therapy, Computer-Assisted
Hospitals, Veterans
Humans
Medical Records Systems, Computerized
Reminder Systems
Retrospective Studies
Software
United States
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Summary:The antiarrhythmic drug amiodarone causes severe side effects that warrant active monitoring. In a given patient, monitoring for amiodarone toxicities involves checking past results of five laboratory/imaging tests and reordering four of these tests every 6 to 12 month, a process that is both complex and time-consuming. We hypothesized that a software tool that automated the retrieval and ordering of these tests in a context-sensitive manner would improve the completeness of surveillance for drug toxicities.
ISSN:1559-4076