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• W2029176088 abstract "Analizar el impacto de las alertas interactivas modales en la incidencia de la prescripción concomitante de ácido valproico (AVP) y meropenem. Estudio analítico de intervención desarrollado en un hospital de tercer nivel de 11 meses de duración. Se seleccionaron aquellos pacientes ingresados con diagnóstico de epilepsia y en tratamiento con AVP y meropenem de forma concomitante. En el sistema de prescripción electrónica asistida se incluyó una alerta modal para que avisase al médico cuando se prescribiese de forma conjunta el AVP y meropenem. Para medir el impacto de esta alerta se compararon los resultados obtenidos con los de un periodo anterior en el que la alerta era no modal. El número de pacientes en tratamiento concomitante con AVP y meropenen disminuyó de 13 a 4 pacientes (p = 0,046). Sin embargo, disminuyeron el número de peticiones de niveles de AVP y aumentó el número medio de días conjuntos de prescripción de 4,7 a 8,75. La implementación de alertas modales disminuye la exposición de los pacientes al tratamiento concomitante de meropenem y AVP. To analyze the effect of modal computer-based alerts on the concomitant prescription of valproic acid (VPA) and meropenem. Analytical intervention study conducted in a tertiary hospital for eleven months. Hospitalized patients with a diagnosis of epilepsy and treated with VPA and meropenem in concomitant therapy were included. In the computerized prescription order entry software an automatic non-modal alert was reconverted to a modal one. This was triggered when the physician introduced VPA and meropenem together in the same prescription. To measure the effect of this alert the prescription habits were compared with a previous period in which the alert was not modal. Modal computer-based alert modified the prescription habit by reducing the number of patients with concomitant treatment from 13 to 4 ( P = .046). However, it was notable that the number of requests for VPA serum levels decreased, and the average number of concomitant days of treatment rose from 4.7 to 8.75 in those patients in which none of the drugs was suspended. The implementation of modal computer-based alerts reduces patient exposure to concomitant treatment with meropenem and VPA." @default.
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• W2029176088 date "2014-01-01" @default.
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• W2029176088 title "Impacto de las alertas interactivas modales en la prescripción informatizada de ácido valproico y meropenem" @default.
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• W2029176088 doi "https://doi.org/10.1016/j.cali.2013.07.005" @default.
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