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Clinician-computer interaction: automated review of psychotropic drugs five years later

机译:临床医生与计算机的互动:五年后对精神药物的自动审查

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Five years after its introduction at a state mental hospital, an automated drug exception review system continues to show a long-term impact on the prescribing practices of hospital physicians. While the overall rate of exceptions has remained low, approximately one quarter of all new exceptions pointed out by the computer result in a change in the order by the physician. The fact that 60% of new exceptions are justified suggests that some forms of polypharmacy may be appropriate. The integration of the exception reporting system into the clinical review process has avoided the danger of the computer being seen as an adversary to the clinician or as exerting a "big-brother"-Iike control over psychopharmacologic prescription practices.
机译:在州立精神病医院推出五年后,自动药物例外审查系统继续显示出对医院医生开处方行为的长期影响。尽管异常的总体发生率一直很低,但是计算机指出的所有新异常中,大约有四分之一导致医师的顺序发生了变化。有60%的新例外情况是有道理的事实表明,某些形式的多药店可能是合适的。将异常报告系统集成到临床检查过程中,避免了计算机被视为临床医生的对手或对心理药理处方做法施加“大哥大”式控制的危险。

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