Sharable contextualized potential drug-drug interaction clinical decision support
Identifying potential drug-drug interactions (DDIs) during the care process is important to ensure patient safety and mitigate risk. In the United States, Meaningful Use incentives have supported the widespread dissemination of potential DDI alerting. However, the majority of potential DDI alerts are ignored. While the majority of health systems use third-party commercial knowledge bases that are integrated into the EHR alerting framework, each institution has the ability to customize the alert types and thresholds in relation to the knowledge base. A sharable service that coordinates drug knowledge and alerts may reduce the variability and set a standard of care for potential DDI clinical decision support across institutions. Supporting this approach, both EHR vendors and drug knowledge vendors are beginning to adopt service-oriented data standards such as FHIR and CDS Hooks. In addition to standardizing care, a sharable service-based approach to potential DDI CDS could help disperse the burden of optimizing alerts and maintaining drug knowledge. In this talk, I will discuss our current research on designing sharable contextualized potential DDI CDS. At the end of the talk, attendees will be able to state one advantage of providing DDI CDS as a web service, describe one tactic that CDS developers can use to reduce alert fatigue, and state three health information technology standards that might enable broad adoption of CDS as a web service.
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