Personal profile
Research interests
The main two goals of my PharmacoInformatics research line are: 1) to improve pharmacotherapy outcomes in patients with multimorbidity, and 2) to improve the detection and prevention of adverse drug events.
Since patients with multimorbidity are usually excluded from randomized controlled trials, I reuse routinely-collected data from Electronic Health Records (EHRs) to address many existing knowledge gaps regarding the safety and effectiveness of drugs and their combinations. At present, my focus is on Intensive Care patients and patients with chronic kidney disease.
Currently, the gold standard for detecting Adverse Drug Events (ADEs) involves a manual patient chart review conducted by multiple medical experts. However, this procedure is resource-intensive and has a limited reproducibility, making it impractical for continuous patient safety monitoring. In this regard, I also leverage routinely-collected data from EHRs to develop and validate automated tools for ADE detection.
To analyze routinely-collected data, I employ various techniques ranging from conventional statistics to machine learning and natural language processing. Specifically, I utilize methods for causal inference that enable personalized estimations of treatment effects and side-effects.
To implement real-world pharmacotherapy insights at the point-of-care, I study different implementation strategies, including computerized decision support systems, prediction and causal models, dashboards, and performance feedback reports.
Specialisation
PharmacoInformatics, Clinical Pharmacology, Multimorbidity, Adverse Drug Events, Reuse of routinely-collected patient data
Related documents
Education/Academic qualification
PhD, Medication safety in older inpatients. Measurement and intervention strategies, University of Amsterdam
Award Date: 21 Mar 2014
Medical specialization in Hospital Pharmacy
Award Date: 1 Aug 2012
Master, Pharmacy, Groningen University
Award Date: 1 Dec 2005
Keywords
- QA75 Electronic computers. Computer science
- RM Therapeutics. Pharmacology
Expertise related to UN Sustainable Development Goals
In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):
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SDG 3 Good Health and Well-being
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SDG 10 Reduced Inequalities
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SDG 13 Climate Action
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Collaborations and top research areas from the last five years
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The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial
Bakker, T., Klopotowska, J. E., Dongelmans, D. A., Eslami, S., Vermeijden, W. J., Hendriks, S., ten Cate, J., Karakus, A., Purmer, I. M., van Bree, S. H. W., Spronk, P. E., Hoeksema, M., de Jonge, E., de Keizer, N. F., Abu-Hanna, A. & SIMPLIFY study group, 3 Feb 2024, In: The Lancet. 403, 10425, p. 439-449 11 p.Research output: Contribution to journal › Article › Academic › peer-review
Open AccessFile31 Downloads (Pure) -
Acute kidney injury associated with nephrotoxic drugs in critically ill patients: a multicenter cohort study using electronic health record data. a multicenter cohort study using electronic health record data
Yasrebi-de Kom, I. A. R., Dongelmans, D. A., Abu-Hanna, A., Schut, M. C., de Lange, D. W., van Roon, E. N., de Jonge, E., Bouman, C. S. C., de Keizer, N. F., Jager, K. J. & Klopotowska, J. E., 1 Dec 2023, In: Clinical kidney journal. 16, 12, p. 2549-2558Research output: Contribution to journal › Article › Academic › peer-review
Open AccessFile58 Downloads (Pure) -
Drug-related causes attributed to acute kidney injury and their documentation in intensive care patients
Murphy, R. M., Dongelmans, D. A., Kom, I.Y.-D., Calixto, I., Abu-Hanna, A., Jager, K. J., de Keizer, N. F. & Klopotowska, J. E., Jun 2023, In: Journal of critical care. 75, 154292.Research output: Contribution to journal › Article › Academic › peer-review
Open AccessFile21 Downloads (Pure) -
Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review
Yasrebi-de Kom, I. A. R., Dongelmans, D. A., de Keizer, N. F., Jager, K. J., Schut, M. C., Abu-Hanna, A. & Klopotowska, J. E., 1 May 2023, In: Journal of the American Medical Informatics Association. 30, 5, p. 978-988 11 p.Research output: Contribution to journal › Review article › Academic › peer-review
Open AccessFile25 Downloads (Pure) -
Adverse drug events caused by three high-risk drug-drug interactions in patients admitted to intensive care units: A multicentre retrospective observational study
Klopotowska, J. E., Leopold, J.-H., Bakker, T., Yasrebi-de Kom, I., Engelaer, F. M., de Jonge, E., Haspels-Hogervorst, E. K., van den Bergh, W. M., Renes, M. H., Jong, B. T. D., Kieft, H., Wieringa, A., Hendriks, S., Lau, C., van Bree, S. H. W., Lammers, H. J. W., Wierenga, P. C., Bosman, R. J., de Jong, V. M. & Slijkhuis, M. & 11 others, , Jan 2024, In: British journal of clinical pharmacology. 90, 1, p. 164-175 12 p.Research output: Contribution to journal › Article › Academic › peer-review
Open AccessFile72 Downloads (Pure)
Impacts
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Richtlijn Polyfarmacie bij ouderen 2e lijn
Klopotowska, J. E. (Participant) & van Marum, R. J. (Participant)
Impact: Public policy impacts
Datasets
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Dutch ADE Corpus
Calixto, I. (Creator), Murphy, R. M. (Creator) & Klopotowska, J. E. (Creator), Figshare, 2025
https://uvaauas.figshare.com/articles/dataset/Dutch_ADE_corpus/28846991
Dataset