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Informatic thoughts from AJHP Dec 1 2009 Articles


Development of a methadone order form for inpatients

    Wesley D. McMillian and Sheila C. Gencarelli 
    Am J Health Syst Pharm 2009 66: 2076-2083.
     [Full Text] [PDF]  

    Informatic thought:  People still use forms?  Just kidding, of course they do, including where I practice.   Good example of some concepts to put in your CPOE orders for methadone.

Alert fatigue

    Jared J. Cash 
    Am J Health Syst Pharm 2009 66: 2098-2101.
     [Full Text] [PDF]  

    Fantastic!  Recommendations should be tablets from the mount!

Clinical and economic value of screening for Kras mutations as predictors of response to epidermal growth factor receptor inhibitors

    Erin E. Mancl, Jill M. Kolesar, and Lee C. Vermeulen 
    Am J Health Syst Pharm 2009 66: 2105-2112.
     [Abstract] [Full Text] [PDF]  

    Informatic thought: Does this rise to the level of a decision support rule, to recommend screening prior to ordering?  Has anyone implemented this? 

Review of recent evidence: Potential interaction between clopidogrel and proton pump inhibitors

    Esther J. Last and Amy Heck Sheehan 
    Am J Health Syst Pharm 2009 66: 2117-2122.
     [Abstract] [Full Text] [PDF] 

    Informatic thought:  Same as above.  Probably does not rise to the level of a CDS alert. 

Elevated International Normalized Ratio associated with concurrent use of sorafenib and warfarin

    Laura V. Moretti and Rolf O. Montalvo 
    Am J Health Syst Pharm 2009 66: 2123-2125.
     [Abstract] [Full Text] [PDF]  

    Informatic thought: Same as above.  This might be considered for a monitoring rule.  On the other hand, when would you use a case study to implement a CDS rule?

Medication reconciliation at an academic medical center: Implementation of a comprehensive program from admission to discharge

    Eileen M. Murphy, Carolyn J. Oxencis, James A. Klauck, Douglas A. Meyer, and Jill M. Zimmerman 
    Am J Health Syst Pharm 2009 66: 2126-2131.
     [Abstract] [Full Text] [PDF]  

    Informatics thought:  This was an informatics exercise with med lists from an EMR

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