Impact of clinical decision support preventing the use of QT-prolonging medications for patients at risk for torsade de pointes.
We developed and implemented a 'CPOE-QT Alert' system, that is, clinical decision support integrated in the computerized physician order entry system (CPOE), in 2011. The system identifies any attempts to order medications with risk of torsade de pointes (TdP) for patients with a history of significant QT prolongation (QTc ≥500 ms) and alerts the provider entering the order. We assessed its impact by comparing orders and subsequent medication administration before [...]
Author(s): Sorita, Atsushi, Bos, J Martijn, Morlan, Bruce W, Tarrell, Robert F, Ackerman, Michael J, Caraballo, Pedro J
DOI: 10.1136/amiajnl-2014-002896