Systems Interventions andTheir Limitations

• Systems interventions

  • Electronic prescription entry and bar-coding
  • Computerized medication records
  • Drug interaction software

• Limitations

  • Fragmented healthcare delivery and prescription filling
  • Information not uniformly translated into practice

• Message

  • Can’t rely completely on technology
  • Need basic knowledge of clinical pharmacologyof drug interactions

Bates DW et al. JAMA 1998;280:1311–1316. Evans RS et al. Ann Pharmacother 1994;28(4):523–5277

Gebhart F. Drug Topics 1999;1:44. Smalley W et al. JAMA 2000;284(23):3036–3039

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