Optimization strategies of computerized physician order entry in pregnant and breastfeeding patients in a monocentric hospital setting

Croix, Noémie
(2024)

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CROIX_03981500_2024.pdf
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Details

Supervisors
Dalleur, Olivia ; Vanderbist, Krishna
Faculty
Faculté de pharmacie et des sciences biomédicales
Degree label
Master de spécialisation en pharmacie hospitalière
Abstract
Clinical decision support systems (CDSS) inserted into computerized physician order entry reduce medical error during prescription. Relevance of medication-related alerts is essential to prevent useless interruptions, alert fatigue and bypass. Objectives : Optimization of CDSS at order entry in pregnant and breastfeeding women in a teaching hospital using Thériaque® as knowledge base for CDSS. The overall study design is based on the PDCA method. Plan: classification of the drugs involved in 80% of bypassed pregnancy/ lactation alerts at order entry into optimization based on literature of (a) display process, (b) severity level, and (c) content to suggest an alternative. Do: implementation of optimizations in the system. Check: evaluation of the effect of these 3 simultaneous optimization strategies on the pregnancy/ lactation alert rate and overall pregnancy/ lactation alert bypass rate. Act: record results and any discrepancies and suggest improvements.