Mandatory medication indications in electronic systems

the prescriber perspective

Melissa Baysari*, Jessica Del Gigante, Maria Moran, Elin Lehnbom, Richard Day

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Citation (Scopus)
16 Downloads (Pure)

Abstract

As hospitals transition from paper to electronic medication charts, an opportunity exists to 'nudge' prescribers to document medication indications by making this data-entry field mandatory. The aim of this study was to explore hospital doctors' perceptions of mandatory documentation of indications in an electronic medication management (EMM) system. Ten junior doctors took part in brief semi-structured interviews. Participants identified improved communication among staff as a key benefit of indication documentation. Recording indications was also seen to act as a prompt for medication review. Despite these benefits, indication documentation for all medications would be challenging to implement in practice. Users of the EMM system (i.e. junior doctors) explained that they are time poor and are often tasked with transcribing medication orders into the electronic system with limited knowledge of why medications are being prescribed. Determining the indication for use would require additional time and effort, and prescribers reported a high risk of working around the system if indication documentation was made mandatory.

Original languageEnglish
Title of host publicationContext sensitive health informatics
Subtitle of host publicationsustainability in dynamic ecosystems
EditorsRomaric Marcilly, Craig E. Kuziemsky, Christian Nohr, Sylvia Pelayo
Place of PublicationAmsterdam
PublisherIOS Press
Pages95-100
Number of pages6
ISBN (Electronic)9781643680057
ISBN (Print)9781643680040
DOIs
Publication statusPublished - Aug 2019
Externally publishedYes
EventContext Sensitive Health Informatics Conference, CSHI 2019 - Lille, France
Duration: 23 Aug 201924 Aug 2019

Publication series

NameStudies in Health Technology and Informatics
Volume265
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Conference

ConferenceContext Sensitive Health Informatics Conference, CSHI 2019
CountryFrance
CityLille
Period23/08/1924/08/19

Bibliographical note

Copyright the Author(s) and IOS Press 2019. 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.

Keywords

  • Electronic medication management
  • mandatory documentation
  • medication indication

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  • Cite this

    Baysari, M., Del Gigante, J., Moran, M., Lehnbom, E., & Day, R. (2019). Mandatory medication indications in electronic systems: the prescriber perspective. In R. Marcilly, C. E. Kuziemsky, C. Nohr, & S. Pelayo (Eds.), Context sensitive health informatics: sustainability in dynamic ecosystems (pp. 95-100). (Studies in Health Technology and Informatics; Vol. 265). Amsterdam: IOS Press. https://doi.org/10.3233/SHTI190145