Table 1 Different RAEs and their characteristics *
RAE | Setting | Clinical System | Scope | Est. # of Rulesξ |
|---|---|---|---|---|
REMINDER RULE EDITORS | ||||
Reminder Editor (1st generation) | Ambulatory | Standalone | Used by KEs for entering and editing reminder rules | 356 |
Reminder Editor (2nd generation) | Ambulatory | Embedded in an ambulatory EHR | Used by KEs for entering and editing reminder rules | 356 |
Enterprise Rule Services (3rd generation) | Ambulatory | Standalone; service-oriented | Used by KEs for entering and editing diverse clinical decision support rules | 120 |
MEDICATION RULE EDITORS | ||||
Drug-Drug Interaction (DDI) Editor | Ambulatory and inpatient | Standalone; web-based application | Used by KEs for entering and editing DDI rules | 2800 |
Renal Drug Dosing (Nephros) | Ambulatory and inpatient | Embedded in an inpatient CIS. CDS rules are maintained in a specific EHR, but are used at the enterprise level by other systems | Used by KEs for entering and editing rules to offer substitute drugs or adjust dose or frequency list for a drug for renally impaired patients (e.g., based on a particular Creatinine value) | 352 |
Geriatric Drug Dosing (Gerios) | Ambulatory and inpatient | Embedded in an inpatient CIS. CDS rules are maintained in a specific EHR, but are used at the enterprise level by other systems | Used by KEs for entering and editing rules to offer substitute drugs or adjust dose or frequency list for a drug for geriatric patients, based on a particular age value | 244 |
Neonate Pediatric Drug Dosing | Inpatient | Embedded in a medication concept editor | Used by KEs for entering and editing rules to offer substitute drugs or adjust dose or frequency list for a drug for pediatric patients | 1000 |
Food Drug Interaction | Ambulatory and inpatient | Embedded in a medication concept editor | Used by KEs for entering and editing FDI rules | 200 |
Duplicate Therapy | Ambulatory and inpatient | Standalone; web-based application | Used by KEs for entering and editing rules to detect potential drug duplications | 190 |
Medication Rule Editor | Ambulatory | Embedded in an ambulatory EHR | Maintains its own set of medication rules, including drug-disease, drug-pregnancy, drug lab, drug-group, group-group interactions | 2300 |