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Prevention of adverse drug events through computerized surveillance

Authors

Evans RS, Pestotnik SL, Classen DC, Bass SB, Burke JP

Journal

Proc Annu Symp Comput Appl Med Care

Publication Date

1992

Pages

437-441

HIT Description: Adverse drug event (ADE) detection and reporting system within a computerized medical record system. More info...
Purpose of Study: Report the use of a computerized ADE surveillance tool to increase the identification of ADEs and reduce hospital length of stay and associated costs.
Years of study: 1988-1992
Study Design: Case-Control and Time Series
Outcomes: Impact on patient safety, Impact on efficiency, utilization, costs

Summary:

Settings: 520-bed teaching hospital affiliated with the University of Utah..
Description: HELP (Health Evaluation through Logical Processing) health information system that includes the computerized medical records system, adverse drug and hospital-acquired infection detection and reporting, nursing acuity scoring, etc.
Clinical Outcomes: Increased identification of ADEs, from 0.04% (baseline measurement from May 1988 to April 1989) to 1.7%, 2.7% and 2.4% in subsequent years (p 0.001). � � Reduction in idiosyncratic or allergic reactions (p 0.001)� � Reduction in severe ADEs when physicians were notified early (p 0.001)
Benefits: Improved detection and potential reduction of ADEs in the hospital setting through early intervention.

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