Optimizing Best Practice Advisory alerts in electronic medical records with a multi-pronged strategy at a tertiary care hospital in Singapore.

Objective: Clinical decision support (CDS) alerts can aid in improving patient care. One CDS functionality is the Best Practice Advisory (BPA) alert notification system, wherein BPA alerts are automated alerts embedded in the hospital's electronic medical records (EMR). However, excessive alerts can change clinician behavior; redundant and repetitive alerts can contribute to alert fatigue.

Intravenous maintenance fluid tonicity and hyponatremia after major surgery- a cohort study.

Background: Intravenous maintenance fluid (IMF) tonicity and composition influence plasma electrolyte balance.

Objective: To determine if hypotonic IMF therapy contributes to post-surgical hyponatremia.

Setting: Single-center tertiary institution.

Ten-year prescription trends of asthma medications in the management of childhood wheeze.

Asthma is the most common chronic disorder of childhood. The aim of this study was to assess prescription trends of asthma medications to provide a measure to evaluate treatment practices and compliance with established international practice guidelines. A retrospective study of data obtained from outpatient prescription databases (2001-2010) of the University Children's Medical Institute for children aged 0-18 years was performed.