USING CLINICAL DECISION SUPPORT SYSTEMS IN PRACTICE AND ITS EFFECT ON DRUG INTERACTION
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Keywords
Clinical Decision Support Systems (CDSS), Drug-Drug Interactions (DDIs), Alert Fatigue, Patient Safety, Medication Management, Healthcare Optimization
Abstract
Clinical Decision Support Systems (CDSS) are now essential tools in healthcare, providing clinicians with crucial guidance and information to assist in patient care. Their integration into Computerized Physician Order Entry (CPOE) systems has the potential to revolutionize healthcare by enhancing safety, quality, and efficiency. A key function of CDSS is identifying and managing drug-drug interactions (DDIs), which are a major concern in today's complex medication landscape. DDIs can lead to adverse drug events (ADEs), resulting in increased hospitalization rates, longer hospital stays, and patient morbidity and mortality. CDSS can play a crucial role in detecting DDIs early, potentially reducing these risks. However, the effectiveness of CDSS-generated DDI alerts varies, and many alerts are ignored due to factors like alert fatigue and design flaws. Efforts to improve DDI alerts focus on standardizing their presentation, content, and resolution processes. It is crucial to include clear identification of drug pairs, indication of severity, explanation of clinical consequences, and guidance on risk mitigation. Consistency in terminology, symbols, and formats is essential, as is incorporating patient-specific data and context into alert logic. A team approach to DDI management, involving various healthcare professionals, is recommended for optimal patient care. Evaluating the effectiveness of DDI alerts should consider both measurable and perceived value, recognizing that clinicians' perceptions may differ based on their expertise and roles. Additionally, it is important not to rely solely on override rates as the metric for assessing alert efficacy. In conclusion, CDSS and DDI alerting systems have the potential to significantly enhance patient safety and healthcare outcomes. However, ongoing research, standardization, and user-centered design are essential to fully realize their benefits and address associated challenges.
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Abdullah Abed Abdullah Algethami
Medical Supply Department, Directorate of Health Affairs, Taif, Saudi Arabia
Wael Muslih Alsufyani
Pharmacy Department, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Meshari Eida Alharthi
Psychiatric Department, Eradah Mental Health Complex, Taif, Saudi Arabia
Abdulaziz Shaflot Alasmari
Taif Primary Health Care, Taif, Saudi Arabia
Mohammed Ahmed Alzaidi
Psychiatric Department, Mental Health Hospital, Taif, Saudi Arabia
Muhannad Safar Alharthi
Nursing Department, Eradah Complex and Mental Health, Taif, Saudi Arabia
Turky Ahmed Al Thobaiti
Public Health Administration – Health Programs, Public Health, Taif, Saudi Arabia
Abdullah Ayidh Alrehaili
Alaws Primary Healthcare Center, Ministry of Health, Medina, Saudi Arabia
Essa Rashed AlSuhaymi
Alyetma Primary Healthcare Center, Ministry of Health, Medina, Saudi Arabia
Shahad Ali Alsufyani
Wast Almadinah Primary Healthcare Center, Ministry of Health, Taif, Saudi Arabia
Salma Awadh Alharthi
Department of Internal Medicine, King Abdulaziz Specialist Hospital, Taif, Saudi Arabia
Sultanah Madad Alrawili
Tareef -Al-Salehiah primary health care center, Ministry of Health, Turaif, Saudi Arabia
Azhar Abdull wahid Aljishi
Maternity and Children Hospital in Dammam, Dammam, Saudi Arabia
Reem Ibrahim Aldoosary
Nursing technician, Ministry of Health, Dammam, Saudi Arabia
Asma Yahia Alalshoja
Nursing Administration Department, Aseer Health Cluster, Abha, Saudi Arabia
Eman Gaman Alenezy
East Riyadh Dental Center, Ministry of Health, Riyadh, Saudi Arabia
Mohammed Saeed Babonji
Department of Pediatrics, Aziziyah Children Hospital, Jeddah, Saudi Arabia