From: The support of medication reviews in hospitalised patients using a clinical decision support system
Type of error | All remarks = 308 | Notifications CDSS and review = 249 | CDSS total = 70 | Review total = 223 | CDSS new notifications N = 26 | No notifications in CDSS as % of review remarks (n = 179 vs. n = 223) | |
---|---|---|---|---|---|---|---|
a | Indication without medication | 94 (30.5 %) | 76 (30.5 %) | 29 (41 %) | 68 (30.5 %) | 8 (31 %) | 47 (69.1 %) |
b | Medication without indication | 78 (25.3 %) | 66 (26.5 %) | 2 (3 %) | 66 (29.6 %) | 0 | 64 (97.0 %) |
c | Contraindications/interactions/side effects | 32 (10.4 %) | 25 (10.0 %) | 20 (29 %) | 11 (4.9 %) | 14 (54 %) | 5 (45.5 %) |
d | Dosage problems | 42 (13.6 %) | 35 (14.1 %) | 14 (20 %) | 31 (13.9 %) | 4 (15 %) | 21 (67.7 %) |
e | Double medication | 10 (3.2 %) | 7 (2.8 %) | 0 | 7 (3.1 %) | 0 | 7 (100 %) |
f | Wrong medication | 26 (8.4 %) | 22 (8.8 %) | 1 (1 %) | 22 (9.9 %) | 0 | 21 (95.5 %) |
g | Therapeutic drug monitoring | 26 (8.4 %) | 18 (7.2 %) | 4 (6 %) | 18 (8.1 %) | 0 | 14 (77.8 %) |