预防和监测药物不良反应的IT解决方案:系统的文献综述

A. Khalil, Ford Lumban Gaol, Boy Subirosa Sabarguna, Harjanto Prabowo
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引用次数: 0

摘要

*患者安全是医疗保健行业中最重要的方面之一。减少药物不良反应(ADR)和医疗差错是提高患者生活质量的重点。然而,不可否认的是,没有药物是没有副作用的。事实上,ADR占住院人数的2.3% - 21.2%,而且ADR病例也很难追踪,因为只有不到5%的病例是由患者直接报告的。越来越多的研究发现信息技术(IT)在预防和监测不良反应方面的潜力。然而,我们很少找到一篇全面的文章综述来讨论预防和监测ADR的IT解决方案。因此,本文对2016-2021年发表的论文进行了系统回顾,以了解目前预防和监测ADR的IT解决方案。本文重点介绍了临床决策支持系统(CDSS)作为预防ADR的解决方案,以及患者健康监测(PHM)软件作为监测ADR的解决方案。我们的研究发现,发达国家之前进行的大多数研究都将心脏病学和内分泌学作为最普遍的疾病领域。相对于以往的CDSS研究,以知识为基础的CDSS的使用仍占主导地位。同时,手机是最常用的ADR监测平台。我们还试图根据给出药物建议和报告ADR的方法对这些特征进行分类。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
IT Solutions for Preventing and Monitoring Adverse Drug Reactions: A Systematic Literature Review
∗ Patient safety is one of the most crucial aspects in the healthcare industry. Minimizing adverse drug reactions (ADR) and medical errors are the focus for improving patient’s quality of life. However, it is undeniable that no drug is free from side effects. In fact, ADR caused 2.3% to 21.2% of hospital admissions, and ADR cases are also hard to trace because less than 5% of cases were reported directly by the patient. An increasing amount of research has been conducted to see the potential of information technology (IT) for preventing and monitoring ADR. However, we rarely find a comprehensive article review to discuss IT solutions for preventing and monitoring ADR. Therefore, this paper conducted a systematic review of papers published in 2016-2021 to see the current IT solutions for preventing and monitoring ADR. This paper focuses on clinical decision support system (CDSS) as the solutions for preventing ADR, and Patient Health Monitoring (PHM) software for monitoring ADR. Our study found most previous research conducted by developed countries with cardiology and endocrinology as the most prevalent disease domain. In relation to prior research on CDSS, the use of knowledge-based CDSS still dominates the previous research. At the same time, mobile is the most used platform for monitoring ADR. We also attempted to categorize the features based on the approaches to give drug recommendations and report ADR.
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