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Implementation of a computer-assisted monitoring system for the detection of adverse drug reactions in gastroenterology

Authors

Dormann, H., Criegee-Rieck, M., Neubert, A., Egger, T., Levy, M., Hahn, E. G., Brune, K.

Journal

Aliment Pharmacol Ther

Publication Date

2004 Feb 1

Volume

Issue

Pages

303-9

HIT Description: Data collection / data summary systems

Purpose of Study: to assess the effectiveness and appropriateness of a computer monitoring system that detects ADRs by laboratory signals in gastroenterology

Years of study: 2000-2001

Study Design: other predictive analysis

Outcomes: impact on patient safety

Summary:

Settings: gastroenterological ward of the University Hospital Erlangen-Nuremberg, Germany
Intervention: ADRs were identified prospectively by daily chart review and compared to alerts generated by a computer monitoring system
Evaluation Method: chart review, electronic data from alerts
Description: the computer monitoring system generated alerts as automatic laboratory signals (ALSs) when lab results were outside of the normal range, where there was a change in a laboratory test that differed from a previous results and when there was a repetitive abnormal laboratory value
Quality of Care and Patient Safety Outcome: The sensitivity of the electronic system was 91% with a 23% specificity

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