Identification of strategies to reduce computerized alerts in an electronic prescribing system using a Delphi approach

Melissa T. Baysari*, Johanna I. Westbrook, Brian Egan, Richard O. Day

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contributionpeer-review

8 Citations (Scopus)
15 Downloads (Pure)

Abstract

Objective: To reach consensus among prescribers of different specialties and experience on the usefulness of computerised alerts and strategies for reducing low-value alerts within a commercial electronic prescribing system. Method: We conducted a Delphi technique where participants were sent a 10-question survey in rounds 1 and 2 to rate the usefulness of existing alert types and to indicate if 1) therapeutic duplication alerts should be adjusted so that they fired only when both medication orders were active; 2) local messages should be changed to hyperlinks rather than alerts. Forty-seven prescribers completed round 1 and 21 round 2. Results and discussion: Prescribers varied in their views on alerts of little value but agreed allergy and intolerance alerts should be retained. Most prescribers indicated that the proposed strategies for reducing local messages and duplication alerts would not compromise patient safety. Involving users in customization of alerts proved to be a successful approach.

Original languageEnglish
Title of host publicationMEDINFO 2013 - Proceedings of the 14th World Congress on Medical and Health Informatics
EditorsChristoph Ulrich Lehmann, Elske Ammenwerth, Christian Nøhr
Place of PublicationAmsterdam
PublisherIOS Press
Pages8-12
Number of pages5
Volume192
ISBN (Print)9781614992882
DOIs
Publication statusPublished - 2013
Externally publishedYes
Event14th World Congress on Medical and Health Informatics (MEDINFO) - Copenhagen, Denmark
Duration: 20 Aug 201323 Aug 2013

Conference

Conference14th World Congress on Medical and Health Informatics (MEDINFO)
CountryDenmark
CityCopenhagen
Period20/08/1323/08/13

Bibliographical note

Copyright the Publisher 2013. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

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