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  1. Computerized prescribing : Building the electronic infrastructure for better medication usage.

    Article - En anglais

    Computerized prescribing in the practice of medicine is a change that is overdue.

    Virtually all prescriptions in the United States are still handwritten.

    Instead, medications should be ordered on a computer interacting with 3 databases : patient drug history, scientific drug information and guideline reference, and patient-specific (weight, laboratory) data.

    Current problems with prescribing on which computerized prescribing could have a positive impact include (1) drug selection ; (2) patient role in pharmacotherapy risk-benefit decision making ; (3) screening for interactions (drug-drug, drug-laboratory, drug-disease) ; (4) linkages between laboratory and pharmacy ; (5) dosing calculations and scheduling ; (6) coordination between team members, particularly concerning patient education ; (7) monitoring and documenting adverse effects ; and (8) postmarketing surveillance of therapy outcomes.

    Computerized prescribing is an important component of clinician order entry.

    Development of this tool has been impeded by a number of conceptual, implementation, and policy barriers.

    Overcoming these constraints will require clinically and professionally guided vision and leadership.

    Mots-clés Pascal : Traitement informatique, Prescription médicale, Facteur qualité, Relation médecin malade, Communication information, Analyse coût efficacité, Homme, Informatique, Organisation santé

    Mots-clés Pascal anglais : Computerized processing, Medical prescription, Q factor, Physician patient relation, Information communication, Cost efficiency analysis, Human, Computer science, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0207331

    Code Inist : 002B28E. Création : 11/09/1998.