Résumé :
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[BDSP. Notice produite par INIST AMLTR0xf. Diffusion soumise à autorisation]. 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.
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