Development of Computerized Drug Allergy Alert System Combined with Management of Drug Allergy Database at a Hospital in Samutsakhon
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Abstract
Objective: To develop computerized drug allergy alerting system together with the management of drug allergy database within a hospital. Method: The study was an action research with a two-cycle Deming quality improvement for three months in each cycle. The development was divided into two areas i.e., development of drug allergy alerting system in the Electronic Medical Record (EMR Soft®) and development of management of drug allergy database including drug allergy interview guide for pharmacist and guide for entry of drug allergy history into the computer system. Physicians and pharmacists who were users of the system, and software designers worked jointly to develop the system. The study evaluated the development of system by measuring the number of errors that may lead to repeated drug allergy, and the completeness of the data recorded in the system during implementation period from October 2016 to April 2017. After the end of the study, the researcher evaluated the satisfaction of the physicians and the pharmacists. Results: After the collaborative development on data entry into the drug allergy database, development of allergy alert system and guidelines for managing drug allergy database, error caused by prescribing a drug to which a patient had a known allergy decreased by 35% compared to the same month period last year. The records in computerized drug allergy alert system have increased for 33%. Data entered into the system covered all happened adverse events. After system development, physicians and pharmacists showed a high level of overall satisfaction. Most of them followed the prescribed guidelines. Conclusion: The development of the computerized drug allergy alerting system with the development of clear guidelines for history taking and recording of drug allergy for practitioners reduced the number of prescribing errors and improved accuracy and reliability of computerized drug allergy. This enabled the use of information in the system by health professionals for making decision on safe drug prescribing, dispensing, administering medications for patients.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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