The effect of Computerized Clinical Decision Support System on prescribing NSAIDs in patients with stage 3 to 5 Chronic Kidney Disease at a community hospital

Abstract

Chronic kidney disease It is a major public health problem worldwide. In Thailand, it is an urgent problem that arises both in hospitals and communities. One measure to address the problem is Promoting rational drug use. Which aims for medical personnel and service recipients to change drug behavior. Objective : 1) To study the efficacy of a multidisciplinary pop-up alert system in recognizing the effect of the drug on the level of renal failure in patients; 2) To assess the factors important to the prescribing of Non-Steroidal Anti-Inflammatory Drugs(NSAIDs). Quantitative and qualitative analysis of chronic kidney disease patients in both Inpatients and Outpatients through the HOSxP system of a community hospital. From the study of the effect of using the Computerized Clinical Disease Support System. (CCDSS) A case of NSAIDs and stage 3-5 renal failure patients in a community hospital Method: Descriptive research model By collecting data from the hospital database, collecting data from 2015-2020 in a sample of 248 patients and Focus Group among 5 doctors. Results: Factors affecting the prescribing of NSAIDs in chronic renal failure stage 3-5 patients were: severity stage 3-5, Age of the patient, Prescribing NSAIDs of the Inpatients with the frequency of prescribing NSAIDs, it was found that after the noctification system, the frequency of prescribing NSAIDs in the Inpatient ward decreased from 32.37% to 3.37% with statistical significance. p-value<0.001(OR=5.8124 95%CI 2.8771 - 11.7426 p-value<0.001). The assessment of the notification system had high important factors, ie age 66-77 years and Inpatients with statistically significant p-value <0.001. In-depth interview. Physicians are aware of the prescribing of NSAIDs in stage 3-5 renal failure patients. Conclusion: The results of this study show that NSAIDs use in stage 3-5 patients with chronic renal failure via Pop -up has the effect of reducing drug prescribing effectively For Inpatients and the elderly, it is an important factor affecting the evaluation of prescribing.