Patient safety based on computer-assisted drug therapy. Electronic check-up of the patient

Patients in internal medicine frequently experience adverse drug events. Many of those events, however, are avoidable because they are caused by medication errors, which are particularly frequent in drug prescribing. Therefore, practical concepts are needed to make the rapidly growing knowledge on d...

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Bibliographic Details
Published in:Der Internist (Berlin) 2009-06, Vol.50 (6), p.748
Main Authors: Bertsche, T, Kaltschmidt, J, Haefeli, W E
Format: Article
Language:ger
Subjects:
Drug Therapy, Computer-Assisted - methods
Germany
Medical Records Systems, Computerized - organization & administration
Safety Management - methods
Safety Management - organization & administration
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Summary:Patients in internal medicine frequently experience adverse drug events. Many of those events, however, are avoidable because they are caused by medication errors, which are particularly frequent in drug prescribing. Therefore, practical concepts are needed to make the rapidly growing knowledge on drugs available already during prescription. But also when deviations from standards are intended access to up-to-date information is required. Computer-based systems can offer support for prescribing clinicians to meet these claims and thus improve the quality of pharmacotherapy. To reach this goal, such systems have to be interlinked among each other and with systems of primary, secondary, and tertiary care. They must be based on scientific published evidence and should consider as many factors as possible for individualization of drug therapy. Individualization and focusing on relevant information are prerequisites to prevent inappropriate alerts (over-alerting) and thus to increase acceptance in practical use.
ISSN:1432-1289
DOI:10.1007/s00108-009-2398-7