Assessment of an Integrated Clinical Surveillance Alert System

PURPOSE: To assess the changes in alert acknowledgment and intervention rate after integration of a clinical surveillance alert system with an electronic health record. METHODS: This is a 60-day pre-post quasi-experimental study completed at a large academic medical center which assesses the utilization of eight medication alerts within a stand-alone clinical surveillance system before and after integration with the electronic health record. The primary outcome assessed is alert acknowledgment rate by clinical pharmacists. RESULTS: 176 alerts were activated during the pre-assessment period and 230 alerts in the postassessment period. Results will be described in higher detail including acknowledgment rate, alert accuracy, pharmacy consult rate, and pharmacy intervention related to alerts. CONCLUSION: The use of clinical surveillance alerting systems can identify meaningful pharmacy led therapy interventions regardless of clinical pharmacy service model. Integration of such systems into the EHR improves their utilization and in our study was associated with a higher rate of alert identified therapy intervention.

Name thesis:degree_name

Master of Science

Level thesis:degree_level

Masters

Discipline thesis:degree_discipline

Pharmacy Leadership & Administration

Grantor

University of Houston

Year dc:date.issued

2022

Author dc:creator

• Jones, Nathan Christian

Advisor dc:contributor.advisor

• Wanat, Matthew A.

Committee members dc:contributor.committeemember

• Putney, David R.
• Attia, Engie
• Adeola, Mobolaji
• Truong, Mabel H.
• Varkey, Alex C.

• Clinical
• Surveillance
• Alert
• Integration
• Pharmacy
• Medication
• Safety

Statement dc:rights

• The author of this work is the copyright owner. UH Libraries and the Texas Digital Library have their permission to store and provide access to this work. Further transmission, reproduction, or presentation of this work is prohibited except with permission of the author(s).

Language dc:language.iso

eng

Handle dc:identifier.uri

https://hdl.handle.net/10657/13134

OAI identifier oai:identifier

oai:uh-ir.tdl.org:10657/13134