测试数字医疗点解决方案的可行性,以实现新颖且信息丰富的不良事件信息的可信近实时双向交流。

IF 2 4区 医学 Q4 MEDICAL INFORMATICS
Greg Powell, Vijay Kara, Daniel Naranjo, Mangesh Kulkarni, Kerri Best-Sule, Trinka Coster, Machaon Bonafede, Shruti Gangadhar, Lee Kallenbach, Andrew Bate
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引用次数: 0

摘要

为了测试药物警戒专家(PVEs)与医疗保健专业人员(HCPs)之间进行近实时双向交流的可行性,我们实施了一种数字化护理点解决方案,以交换独特而翔实的不良事件(AE)信息。该解决方案是在商用电子健康记录(EHR)系统/平台上实施的,PVE 与 HCP 之间不可能直接联系。EHR 供应商的临床事务团队被用作中间人,以确保在交换适当信息的同时保护 HCP 和患者隐私。该研究产生了 9 对药物-相关事件 (AEI),其中 2 对被 HCP 确认为 AE。收到初始 AEI 信息平均需要 20.6 小时,收到后续信息平均需要 58.8 小时,与当前方法相比,时间缩短了 96%。这两次互动都提供了独特的数据,如果没有这些数据,PVE 就无法适当地确定潜在的因果关系。这项研究成功证明了在医疗点使用符合要求的双向数字化临床交流渠道来补充现有药物警戒活动的可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Testing the Feasibility of a Digital Point of Care Solution for the Trusted Near Real-Time Bidirectional Exchange of Novel and Informative Adverse Event Information.

A digital point-of-care solution was implemented to test the feasibility of near-real-time bi-directional communication between pharmacovigilance experts (PVEs) and healthcare professionals (HCPs) for exchanging unique and informative adverse event (AE) information. The solution was implemented in a commercially available electronic health record (EHR) system/platform, no direct contact between PVEs and the HCPs was possible. The Clinical Affairs team of the EHR vendor was used as an intermediary to ensure appropriate information was exchanged while protecting HCP and patient privacy. The study yielded 9 drug-event pairs of interest (AEI), 2 of which were confirmed as AEs by the HCP. On average it took 20.6 h to receive initial AEI information and 58.8 h to receive follow-up information, which represents a 96% reduction in time compared to current methods. Both interactions provided unique data that would not have been collected otherwise leading to the PVE being able to appropriately determine a potential causal association. This study successfully demonstrated the feasibility of using a compliant, bi-directional, digitally enabled clinical communication channel at the point of care to complement existing pharmacovigilance activities.

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来源期刊
Therapeutic innovation & regulatory science
Therapeutic innovation & regulatory science MEDICAL INFORMATICS-PHARMACOLOGY & PHARMACY
CiteScore
3.40
自引率
13.30%
发文量
127
期刊介绍: Therapeutic Innovation & Regulatory Science (TIRS) is the official scientific journal of DIA that strives to advance medical product discovery, development, regulation, and use through the publication of peer-reviewed original and review articles, commentaries, and letters to the editor across the spectrum of converting biomedical science into practical solutions to advance human health. The focus areas of the journal are as follows: Biostatistics Clinical Trials Product Development and Innovation Global Perspectives Policy Regulatory Science Product Safety Special Populations
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