Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies
Open accessAbstract
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.
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Problems such as inaccurate allergy coding, spurious alerts that frustrate users and prompt inappropriate clinical responses, and workarounds that bypass safety features have been identified.
“inaccurate coding of allergies, 9 spurious alerts incurring user frustration and inappropriate clinical responses, 10 19 and workarounds which bypass intrinsic safety features 15 have been identified.”
From ‘Too much, too late’: mixed methods multi-channel video recording study of computerized decision support systems and GP prescribing (2013) · cites this paper as [19]
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- Authors
- Cresswell, K. M., & Sheikh, A.
- Affiliations
- University of Edinburgh (GB)
- Corresponding author
- Sheikh, Aziz
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 121
- Issue
- 5
- Pages
- 1112-1117.e7
- ISSN
- 0091-6749 (ISSN-L)
- OpenAlex
- W1971814165
- Cited by
- 38
- References
- 26
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 3
- FWCI
- 0.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
- Health Sciences › Medicine › Pharmacology › Drug-Induced Adverse Reactions
- Keywords
- drug hypersensitivity, medication errors, clinical decision support, barcoding, radio frequency identification, patient identification, drug safety
- MeSH terms
- Drug Hypersensitivity, Humans, Hypersensitivity, Medication Errors, Medication Systems, Hospital, Clinical Pharmacy Information Systems
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