Affiliation: Massachusetts General Hospital
- Impact of incorporating pharmacy claims data into electronic medication reconciliationShobha Phansalkar
Shobha Phansalkar, B S Pharm, Ph D, is Instructor in Medicine, Division of General Medicine, Brigham and Women s Hospital, Boston, MA, and instructor in medicine, Harvard Medical School, Boston Qoua L Her, Pharm D, M S, is Pharmacy Informatics and Outcomes Research Fellow, Massachusetts College of Pharmacy and Health Sciences University, Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital Alisha D Tucker, B S, is Project Coordinator, Partners HealthCare System, Clinical Informatics Research and Development, Wellesley Gateway, Wellesley, MA Esen Filiz, M Sc, is Junior Business Analyst, Vita Systems GmbH, Mannheim, Germany Jeffrey Schnipper, M D, M P H, is Associate Professor of Medicine, Harvard Medical School, and Associate Physician, Division of General Internal Medicine and Primary Care, Affiliated Hospital of Guangdong Medical College
Am J Health Syst Pharm 72:212-7. 2015..The potential value of adding pharmacy claims data to the medication history in the electronic health record (EHR) to improve the accuracy of medication reconciliation was studied...
- Criteria for assessing high-priority drug-drug interactions for clinical decision support in electronic health recordsShobha Phansalkar
Partners HealthCare Systems, Inc, Wellesley, MA 02481, USA
BMC Med Inform Decis Mak 13:65. 2013..The purpose of this study was to identify a set of criteria for assessing DDIs that should be used for the generation of clinical decision support (CDS) alerts in EHRs...
- Drug-drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health recordsShobha Phansalkar
Partners HealthCare Systems, Wellesley, MA 02481, USA
J Am Med Inform Assoc 20:489-93. 2013..The objective of this study is to report consensus-based recommendations of an expert panel on DDI that can be safely made non-interruptive to the provider's workflow, in EHR, in an attempt to reduce alert fatigue...
- High-priority drug-drug interactions for use in electronic health recordsShobha Phansalkar
Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
J Am Med Inform Assoc 19:735-43. 2012..To develop a set of high-severity, clinically significant drug-drug interactions (DDIs) for use in electronic health records (EHRs)...
- A review of human factors principles for the design and implementation of medication safety alerts in clinical information systemsShobha Phansalkar
Division of General Internal Medicine, Brigham and Women s Hospital, Boston, MA, USA
J Am Med Inform Assoc 17:493-501. 2010..We evaluate the limitations of current alerting philosophies and provide recommendations for improving acceptance of alerts by incorporating human factors principles in their design...
- Understanding pharmacist decision making for adverse drug event (ADE) detectionShobha Phansalkar
Brigham and Women s Hospital, Boston, MA, USA
J Eval Clin Pract 15:266-75. 2009..As a first step to build such an expert system, this study explores pharmacist's decision-making processes for ADE detection...
- Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support toolsAdam Wright
Brigham and Women s Hospital, 1620 Tremont Street, Boston, MA 02115, USA
Am J Health Syst Pharm 69:221-7. 2012..The results of a retrospective evaluation of the frequency and preventability of adverse drug events (ADEs) involving multiple drugs among hospital inpatients are reported...
- Factors influencing alert acceptance: a novel approach for predicting the success of clinical decision supportHanna M Seidling
Division of General Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
J Am Med Inform Assoc 18:479-84. 2011..The clinical effectiveness of these systems, however, is substantially limited by poor user acceptance of presented warnings. To enhance alert acceptance it may be useful to quantify the impact of potential modulators of acceptance...
- Design of decision support interventions for medication prescribingJan Horsky
Clinical Informatics Research and Development, Partners HealthCare, Boston, United States
Int J Med Inform 82:492-503. 2013....
- Evaluation of medication alerts in electronic health records for compliance with human factors principlesShobha Phansalkar
Partners HealthCare Systems, Inc, Wellesley, Massachusetts, USA Division of General Internal Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA Harvard Medical School, Boston, Massachusetts, USA Wolters Kluwer Health, Indianapolis, Indiana, USA
J Am Med Inform Assoc 21:e332-40. 2014..In this study, we evaluated drug-drug interaction (DDI) alerts generated in EHRs and compared them for compliance with human factors principles...
- Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigationAaron S Kesselheim
Division of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital, Boston, Massachusetts, USA
Health Aff (Millwood) 30:2310-7. 2011..Even so, to limit liability in this area, we recommend stronger government regulation of clinical decision support systems and development of international practice guidelines highlighting the most important warnings...
- Development and preliminary evidence for the validity of an instrument assessing implementation of human-factors principles in medication-related decision-support systems--I-MeDeSAMarianne Zachariah
Partners HealthCare System, Wellesley, Massachusetts 02481, USA
J Am Med Inform Assoc 18:i62-72. 2011..Medication-related decision support can reduce the frequency of preventable adverse drug events. However, the design of current medication alerts often results in alert fatigue and high over-ride rates, thus reducing any potential benefits...