Implementing a commercial rule base as a medication order safety net.

  title={Implementing a commercial rule base as a medication order safety net.},
  author={Richard M. Reichley and Terry L. Seaton and Ervina Resetar and Scott T. Micek and Karen M. Scott and Victoria J. Fraser and W. Claiborne Dunagan and Thomas C. Bailey},
  journal={Journal of the American Medical Informatics Association : JAMIA},
  volume={12 4},
A commercial rule base (Cerner Multum) was used to identify medication orders exceeding recommended dosage limits at five hospitals within BJC HealthCare, an integrated health care system. During initial testing, clinical pharmacists determined that there was an excessive number of nuisance and clinically insignificant alerts, with an overall alert rate of 9.2%. A method for customizing the commercial rule base was implemented to increase rule specificity for problematic rules. The system was… CONTINUE READING
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