Table 2. Frequency and examples of free-text comments by category in the outpatient and inpatient settings for a benzodiazepine and nonbenzodiazepine sedative clinical decision support alert.
Comment category | Examples (outpatient) | Examples (inpatient) |
---|---|---|
Allergy/adverse reaction | “Allergic reaction prevention” “Prn for blood transfusion” |
”Administer prior to platelet transfusion” “For iodine sensitivity” |
Dependency/continuity-of-care | “Already on” “Continuity-long term use” |
“Chronic use” “Home med, requested by patient” |
Disease related (nononcology) | “Dizziness with Menier's disease” “MS” |
“Acute MI” “Stiff man syndrome” |
Generalized anxiety/insomnia | “Long time use for anxiety” “Ambien is not a benzodiazepine and has been tolerated” |
“Takes every night” “Insomnia” “Anxious” |
N/A | “!” “Not a benzodiazepine” |
“MD order” “MD aware” |
Neurological/musculoskeletal | “Cervical dystonia” “Spasms” |
“Muscle spasm after breast recon” |
Oncology/chemotherapy | “Chemo” “Nausea during chemo” |
“Cancer dx with anxiety and difficulty sleeping” “Chemotherapy” |
Situational anxiety | “Emergency med” “Rare use for anxiety” “Travel - just in case” |
“Acute anxiety” “For MRI” “Postsurgery” |
Abbreviations: MD, medical doctor; MI, myocardial infarction; MRI, magnetic resonance imaging; MS, multiple sclerosis; N/A, not available.