Phân tích thực trạng không chấp thuận cảnh báo tương tác thuốc trên phần mềm kê đơn tại Bệnh viện Đa khoa huyện Nga Sơn

Abstract

Objective: To analyze the situation of unaccepted drug-drug interaction (DDI) Alert of Clinical Decision Support System (CDSS) at Nga Son District General Hospital. Subject and method: A retrospective cross-sectional study was conducted on trace data of 1501 unaccepted DDIs alerts, and a questionnaire was used to survey 38 doctors' perceptions and satisfaction with the adverse DDIs alert system based on the CDSS. Result: Contraindicated drug interactions accounted for 3.1% of all unaccepted DDIs, of which 100% were conditional contraindicated DDIs. The proportion of patients with contraindicated conditions was 48.6%. There were 1455 adverse drug interactions, accounting for 96.9% of all unaccepted DDIs. Most doctors rated the CDSS function highly in terms of interface (4.21/5), information quality (4.09/5), technology quality (4.69/5), and positive impact on the prescribing process (4.45/5). However, doctors' opinions on unaccepted DDIs include patients have no contraindication conditions, there are no alternatives, no adverse effects on patients have been recorded, etc. Conclusion: Doctors have responded positively to the impact of DDIs alerts through CDSS, but it is necessary to reduce non-specific, overloaded alerts, integrate patient information, clinical situations, and clinical pharmacist consultations to improve doctor acceptance rates.