Physicians
Jason Rodich, M.D., is just finishing his rounds when his pager goes off. Upon
examination of the screen, he sees that the hospital pharmacy is attempting to reach
him. His call to the PharmD informs him that Dr. Rodich's 79 year old patient has a
significantly elevated INR due to an antibiotic recently started for pneumonia, a
situation complicated by a newly noted decrease in her creatinine clearance . Prior to
going home, Dr. Rodich is able to check on his patient and writes a hold order, followed
by an order for a lower dosage of warfarin, increased fluids, and a repeat INR..
Dr. Rodich's quick response prevents what could have
become an adverse drug event. His timely action was due to the Dynamic
PharmacoVigilance Module (DPV), which identified the event and its
cause, and automatically notified the
pharmacist when this emerging adverse clinical situation occurred. DPV works in real
time, and around the clock to monitor all hospital patients, using hundreds of clinical
rules, and issues highly actionable warnings and alerts when a potential adverse drug
event is detected.
Round the Clock Surveillance
In the hospital setting, situations like these happen
every day. Abnormal lab results and conflicting drug combinations are all too
often noted only after an adverse drug event occurs. The failure to act in a
timely fashion could have dire consequences-to the patient, to the physician and
to the hospital.
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