How to Design Computerized Alerts to Ensure Safe Prescribing Practices
| Autor: | Michael A. Krall, Jennifer L. Schneider, Steven R. Simon, David H. Smith, Adrianne C. Feldstein, Dan Laferriere, Dean F. Sittig, Stephen B. Soumerai |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Male
Washington Safety Management Decision support system Computer User Training Attitude of Health Personnel Reminder Systems Control (management) Psychological intervention MEDLINE Primary care Efficiency Organizational Interviews as Topic Order entry Oregon Nursing Medical Staff medicine Humans Medication Errors business.industry Health Maintenance Organizations Preventive health General Medicine Decision Support Systems Clinical medicine.disease Clinical Pharmacy Information Systems Health maintenance Female Medical emergency business |
| Zdroj: | The Joint Commission Journal on Quality and Safety. 30:602-613 |
| ISSN: | 1549-3741 |
| DOI: | 10.1016/s1549-3741(04)30071-7 |
| Popis: | Article-at-a-Glance Background Medication errors and preventable adverse drug events are common, and about half of medication errors occur during medication ordering. This study was designed to develop and evaluate medication safety alerts and processes for educating prescribers about the alerts. Methods At Kaiser Permanente Northwest, a group-model health maintenance organization where prescribers have used computerized order entry since 1996, qualitative interviews were conducted with 20 primary care prescribers. Results Prescribers considered alerts helpful for providing prescribing and preventive health information. More than half the interviewees stated that it would be unwise to let clinicians control or avoid safety alerts. Common frustrations were (1) being delayed by the alert, (2) having difficulty interpreting the alert, and (3) receiving the same alert repeatedly. Most prescribers preferred small-group educational sessions tied to existing meetings and having local physicians conduct education sessions. Discussion The findings were used to design a strategy for introducing and promoting the interventions, modifying the alert text and tools, and focusing the education on how clinicians could use the alerts effectively. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|