Effectiveness of clinical decision support system to prevent adverse drug events
| Project/Area Number |
26293159
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| Research Category |
Grant-in-Aid for Scientific Research (B)
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| Allocation Type | Partial Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical and hospital managemen
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| Research Institution | Hyogo Medical University |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
作間 未織 兵庫医科大学, 医学部, 講師 (60349587)
太田 好紀 兵庫医科大学, 医学部, 講師 (10516404)
岡本 里香 兵庫医科大学, 医学部, 講師 (50775814)
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| Project Period (FY) |
2014-04-01 – 2018-03-31
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| Project Status |
Completed (Fiscal Year 2017)
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| Budget Amount *help |
¥17,290,000 (Direct Cost: ¥13,300,000、Indirect Cost: ¥3,990,000)
Fiscal Year 2016: ¥6,370,000 (Direct Cost: ¥4,900,000、Indirect Cost: ¥1,470,000)
Fiscal Year 2015: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
Fiscal Year 2014: ¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000)
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| Keywords | 臨床決断支援システム / 薬剤性有害事象 / 医療安全 / 医療の質 / 社会医学 / 内科 / 医療・福祉 |
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| Outline of Final Research Achievements |
We developed the clinical decision support system which predict the situation of high risk of adverse drug events and medication errors. We installed such system into the electronic health records and computerized physician ordering system which automatically alerted the healthcare professionals. We attested the effectiveness the system in terms of reduction of adverse drug events and medication errors.
We first developed the guidance system to adjust the doses of drugs according to renal function and alert the occurrence of antibiotics-associated diarrhea. As a result, the proportion of appropriate doses of medication was increased and the deterioration of renal function among admitted patients were decreased. On the other hand, the frequency of antibiotics-associated diarrhea did not change.
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Report
(5 results)
Research Products
(31 results)
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[Journal Article] Adverse drug events and medication errors in Japanese pediatric inpatients: A retrospective cohort study.2014
Author(s)
Sakuma Mio,Ida H, Nakamura T, Ohta Y, Yamamoto K, Seki S, Hiroi K, Kikuchi K, Nakayama K, Bates DW, Morimoto T
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Journal Title
BMJ Qual Saf
Volume: 印刷中
Issue: 10
Pages: 830-837
DOI
Related Report
Peer Reviewed
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[Journal Article] Relation of Contrast-Induced Nephropathy to Long-Term Mortality after Percutaneous Coronary Intervention2014
Author(s)
Abe M, Morimoto T, Akao M, Furukawa Y, Nakagawa Y, Shizuta S, Ehara N, Taniguchi R, Doi T, Nishiyama K, Ozasa N, Saito N, Hoshino K, Mitsuoka H, Toma M, Tamura T, Haruna Y, Kita T, Kimura T.
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Journal Title
Am J Cardiol.
Volume: 114
Issue: 3
Pages: 362-368
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Evolution in practice patterns and long-term outcomes of coronary revascularization from bare-metal stent era to drug-eluting stent era in Japan.2014
Author(s)
Shiomi H, Morimoto T, Makiyama T, Ono K, Furukawa Y, Nakagawa Y, Kadota K, Onodera T, Takatsu Y, Mitsudo K, Kita T, Sakata R, Okabayashi H, Hanyu M, Komiya T, Yamazaki F, Nishiwaki N, Kimura T; CREDO-Kyoto Investigators.
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Journal Title
Am J Cardiol.
Volume: 113
Issue: 10
Pages: 1652-9
DOI
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Biodegradable polymer biolimus-eluting stent versus durable polymer everolimus-eluting stent: a randomized, controlled, noninferiority trial.2013
Author(s)
Natsuaki M, Kozuma K, Morimoto T, Kadota K, Muramatsu T, Nakagawa Y, Akasaka T, Igarashi K, Tanabe K, Morino Y, Ishikawa T, Nishikawa H, Awata M, Abe M, Okada H, Takatsu Y, Ogata N, Kimura K, Urasawa K, Tarutani Y, Shiode N, Kimura T; NEXT Investigators.
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Journal Title
J Am Coll Cardiol.
Volume: 62
Issue: 20
Pages: 181-90
DOI
Related Report
Peer Reviewed
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