Physicians Perceptions on the usefulness of contextual information for prioritizing and presenting alerts in computerized physician order entry systemsReport as inadecuate




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BMC Medical Informatics and Decision Making

, 12:111

First Online: 02 October 2012Received: 12 January 2012Accepted: 27 September 2012

Abstract

BackgroundOne possible approach towards avoiding alert overload and alert fatigue in Computerized Physician Order Entry CPOE systems is to tailor their drug safety alerts to the context of the clinical situation. Our objective was to identify the perceptions of physicians on the usefulness of clinical context information for prioritizing and presenting drug safety alerts.

MethodsWe performed a questionnaire survey, inquiring CPOE-using physicians from four hospitals in four European countries to estimate the usefulness of 20 possible context factors.

ResultsThe 223 participants identified the ‘ severity of the effect’ and the ‘clinical status of the patient’ as the most useful context factors. Further important factors are the ‘complexity of the case’ and the ‘risk factors of the patient’.

ConclusionsOur findings confirm the results of a prior, comparable survey inquiring CPOE researchers. Further research should focus on implementing these context factors in CPOE systems and on subsequently evaluating their impact.

KeywordsCPOE Computerized physician order entry CDS Computerized decision support Contextualization Clinical context Alert fatigue Alert overload Physician survey AbbreviationsADEAdverse Drug Event

AMCAcademic Medical Center

CDSComputerized Decision Support

CPOEComputerized Physician Order Entry

PSIPPatient Safety through Intelligent Procedures in Medication

UMITUniversity for Health Sciences, Medical Informatics and Technology

UPGMAUnweighted Pair Group Method with Arithmetic Mean

USHATEUniversity Specialized Hospital for Active Treatment of Endocrinology.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6947-12-111 contains supplementary material, which is available to authorized users.

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Author: Martin Jung - Daniel Riedmann - Werner O Hackl - Alexander Hoerbst - Monique W Jaspers - Laurie Ferret - Kitta Lawton - E

Source: https://link.springer.com/







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