Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY

卷:121

Article

Cresswell, Kathrin M.¹  Sheikh, Aziz¹ 

[1] Univ Edinburgh, Div Commun Hlth Sci Gen Practice, Allergy & Resp Res Grp, Edinburgh EH8 9DX, Midlothian, Scotland

关键词: drug allergies;    information technology;    patient safety;    systems approach;   

DOI  :  10.1016/j.jaci.2007.12.1180

来源: Elsevier

【 摘 要 】

There is increasing interest internationally in ways of reducing the high disease burden resulting from errors in medicine management. Repeat exposure to drugs to which patients have a known allergy has been a repeatedly identified error, often with disastrous consequences. Drug allergies are immunologically mediated reactions that are characterized by specificity and recurrence on reexposure. These repeat reactions should therefore be preventable. We argue that there is insufficient attention being paid to studying and implementing system-based approaches to reducing the risk of such accidental reexposure. Drawing on recent and ongoing research, we discuss a number of information technology-based interventions that can be used to reduce the risk of recurrent exposure. Proven to be effective in this respect are interventions that provide real-time clinical decision support; also promising are interventions aiming to enhance patient recognition, such as bar coding, radiofrequency identification, and biometric technologies.

【 授权许可】

Free