HealthCanal
“Despite a national mandate to implement electronic health records and computer order entry systems (CPOE) by 2014, only approximately 30 percent of hospitals nationwide have done so and around 40 percent of hospitals in the state of Massachusetts have made this transition.
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Leung AA et al, Journal of General Internal Medicine, 2011
BACKGROUND
It is uncertain if computerized physician order entry (CPOE) systems are effective at reducing adverse drug event (ADE) rates in community hospitals, where mainly vendor-developed applications are used.
OBJECTIVE
To evaluate the impact of vendor CPOE systems on the frequency of ADEs.
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Neil Versel, InformationWeek
“Mining a federal database has revealed a previously unknown, potentially harmful interaction between two commonly prescribed drugs that could affect as many as 1 million people in the United States. And the increasing usage of electronic medical records (EMRs) could make it far easier to identify such adverse drug effects in the future.
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Hampton T. JAMA, 306(2)
Up to 1 million patients in the United States may be taking 2 medications that can lead to unexpected increases in blood glucose levels when used simultaneously. Data mining techniques have revealed that the combination of the antidepressant paroxetine and the cholesterol-lowering medication pravastatin may cause this adverse effect (Tatonetti NP et al. Clin Pharmacol Ther. doi: 10.1038/clpt.2011.83 [published online ahead of print May 25, 2011]).
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Jyoti M., NextBio's Blog
“Going paperless with patient records could benefit more than just the trees, according to a new study published in Clinical Pharmacology and Therapeutics. Based entirely on electronic medical records, the research finds an intriguing association between higher blood glucose levels and combining prescriptions for two drugs, pravastatin and paroxetine.
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Chelsea Conaboy, Boston Globe
“Researchers from Harvard and other institutions announced last week that they had identified a potentially harmful interaction between two commonly prescribed drugs, Paxil and Pravachol.The drug interaction likely would have been ignored if the researchers hadn’t had access to hundreds of thousands of electronic health records, including those of Partners HealthCare patients.
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Healthcare IT News Staff
“Data mining and electronic health records helped researchers at some of the country’s most prestigious universities discover a dangerous side effect of a common drug combination.
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Krista Conger, Scope
“Like many people in this country, I have sometimes taken two or more prescription drugs at one time to treat different conditions. What I didn’t realize, though, is that doctors lack a good way to predict how different drugs will interact.
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Ano Lobb, Justmeans
“New research from Vancouver, published this month in the Annals of Emergency Medicine, underscores the complexities, costs and harms of managing prescription drugs. Researchers, led by emergency physician Corinne Hohl of Vancouver General Hospital, were looking at the role that adverse drug events play on the patients admitted to the emergency department.
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Roberts LL et al, American Journal of Health-System Pharmacy, 67(21)
Purpose
The impact of implementing commercially available health care information technologies at hospitals in a large health system on the identification of potential adverse drug events (ADEs) at the medication ordering stage was studied.
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Boockvar KS et al, Quality & Safety in Health Care, 2010
Background
Our objective was to examine the frequencies of medication error and adverse drug events (ADEs) at the time of patient transfer in a system with an electronic health record (EHR) as compared with a system without an EHR. It was hypothesised that the frequencies of these events would be lower in the EHR system because of better information exchange across sites of care.
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Brownstein JS et al, Diabetes Care, 33(3)
OBJECTIVE
To assess the ability to identify potential association(s) of diabetes medications with myocardial infarction using usual care clinical data obtained from the electronic medical record.
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Poon EG et al, N Engl J Med, 362(18)
Background
Serious medication errors are common in hospitals and often occur during order transcription or administration of medication. To help prevent such errors, technology has been developed to verify medications by incorporating bar-code verification technology within an electronic medication-administration system (bar-code eMAR).
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Fiona Barr, e-Health Insider
“A confidential draft report from the evaluation of the Summary Care Record says data uploaded from GP practices is sometimes wrong but that the SCR can be useful when the data is accurate, Computer Weekly magazine has reported.
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MedGadget
“Researchers at Imperial College London say they have developed a device that may helps doctors predict adverse reaction to specific drugs in patients.
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The Telegraph
“A prototype of the hand-held device is already being tested by British scientists, who say it could be on the market in two years.
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Lodewijk Bos, ICMCC Blog
“On September 8 it was 4 years ago that I founded ICMCC, supported by my first, visionary board members. Medical and care ICT was something I had stumbled upon and knew little about in those days.
“After the first 2 years, September 2006, we had a final definition of the word compunetics, thus being the only global organisation dealing with patient-related ICT. Unfortunately, by that time my mentor and ICMCC co-founder Swamy Laxminarayan had passed away and I was diagnosed with a very aggressive form of Non-Hodgkin.
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“Pharmaceutical companies are increasingly relying on signal detection technologies to aid in identifying and managing adverse drug events, says a new report.
According to analysts at the British market research firm Datamonitor, the pharmaceutical industry will see accelerated growth in the uptake of drug safety monitoring technology.
Article
Richard Pizzi, Healthcare IT News, 6 June 2008
“The Food and Drug Administration now has access to another major ingredient of its Sentinel project, intended to detect adverse drug effects by mining medical data.
The Centers for Medicare and Medicaid Services will make claims data from its Medicare Part D prescription drug program available to the FDA, researchers and others. Although the data will be anonymized, it can be linked to Medicare inpatient and outpatient claims records, enabling researchers to associate drugs and medical devices with their effects on health.”
Article
Nancy Ferris, Government Health IT, 22 May 2008
“A Swedish monitoring centre is using data mining techniques to help identify adverse drug reactions based on Yellow Card patient records.
The Yellow Card is the UK’s Medicines and Healthcare products Regulatory Agency (MHRA) scheme, which has been used for over 40 years to collect information on suspected side effects from all types of medicines.”
Article
eHealth Europe, 23 April 2008
