Evaluation of the Clinical Medication Decision Support Software in Children��s Hospitals and Discussion on Its Improvement
HONG Ling-hong1,2, WU Miao-lian1*, ZHAO Yong-gen1, YANG Ju-fei1, CHEN Long-biao3, WANG Jue1*
1. The Children��s Hospital of Zhejiang University School of Medicine, Hangzhou 310003, China; 2. College of Pharmaceutical Sciences, Zhejiang University, Hangzhou 310058, China; 3. College of Computer Science and Technology, Zhejiang University, Hangzhou 310027, China
Abstract��OBJECTIVE To evaluate the effectiveness of using the Clinical Medication Decision Support (CMDS) software in a children��s hospital, discuss the potential improvement METHODS and provide references for researches on rational drug use software applied in pediatric medications.METHODS Problematic prescriptions screened by CMDS from 06/15/2014 to 06/30/2014 were collected. The data were processed and analyzed using microsoft excel. RESULTS Among the 68 834 issues, 51.2% of them were about incorrect dosage and administration. Among the 294 drugs reported by CMDS with issues on dosage and administration, 37.1% had no information for dosage of pediatric use in the drug labels; 74.5% of the issues on dosage and administration corresponded to drugs with complicated pediatric dosage scenarios; while most of these issues had no clinical significance based on further clinical analysis. CONCLUSION Application of rational drug use software for general purpose in children��s hospitals may have specific problems such as difficulty in handling complicated drug dosage scenarios for children. These problems can be solved by leveraging big data technology.
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HONG Ling-hong, WU Miao-lian, ZHAO Yong-gen, YANG Ju-fei, CHEN Long-biao, WANG Jue. Evaluation of the Clinical Medication Decision Support Software in Children��s Hospitals and Discussion on Its Improvement. Chinese Pharmaceutical Journal, 2016, 51(17): 1532-1536.
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