Navigation Links
Electronic medication alerts designed with provider in mind reduce prescribing errors

INDIANAPOLIS -- Changing how medication alerts are presented in electronic medical records resulted in safer prescribing, increased efficiency and reduced workload for health care providers who placed drug orders in a study published online in the Journal of the American Medical Informatics Association.

"The VA electronic medical record system is one of the most widely used and respected EMR systems in the country," said Alissa L. Russ, Ph.D., a human factors engineer who led the study. "This EMR is used by providers at over 150 VA hospitals. We are looking at ways to improve the alert system for these providers and for patient care." Dr. Russ is a Richard Roudebush Veterans Affairs Medical Center research scientist, a Regenstrief Institute investigator and an adjunct assistant professor with the Purdue College of Pharmacy.

In this simulation study, investigators used knowledge from other industries and applications, such as the design of road signs and medication warning labels, to redesign medication alerts, such as drug allergy and drug-drug interaction warnings. Several changes were incorporated, including the use of concise language and a table-like format to help providers scan for information quickly.

Some of the redesigned alerts also presented more detail, such as a patient's previous symptoms and lab results, so providers did not have to search for this information elsewhere in the patient's electronic medical record. In addition to adopting safer prescribing practices, doctors, nurse practitioners and clinical pharmacists reported higher satisfaction with the redesigned display and the quality of the information presented.

These types of design changes can help providers pay attention to alerts and may reduce some aspects of alert fatigue, according to Dr. Russ.

The investigators used methods developed in human factors engineering to study the alerts and found that prescribers who participated in the simulation sometimes inadvertently canceled a medication when they thought they were ordering it -- or, vice versa, unintentionally ordered a drug, depending on the alert design. These findings have not previously been reported for medication alerts. All patients in the study were fictitious, allowing researchers to safely test the design changes.

The study authors noted that good alert design may offer better cognitive support during busy patient encounters and may help providers extract information quickly, while a poor design may cause prescribers to prematurely dismiss alerts. They also found that repeating alerts in the same ordering session for a given patient did not substantially reduce prescribing errors.

"Serious gaps remain in understanding how to effectively display medication alert information to prescribers. In our study, prescribing errors significantly declined with the redesign, but the number of these errors remains too high. So our next step, which we have already begun, is to learn more about the decision-making process that providers go through when they encounter medication alerts," Dr. Russ said. "An improved understanding of this process will enable us to design even better alerts, with the end goal of enhancing patient safety."


Contact: Cindy Fox Aisen
Indiana University

Related medicine news :

1. The World's Most Advanced Desktop Electronic Magnifier for Under $2,000
2. South African trauma center launches portable electronic trauma health record application
3. Announces The Best Online Store to Buy Wholesale Dresses and Electronics From China
4. Study Documents Secondhand Exposure to Nicotine from Electronic Cigarette Vapor
5. Improved Electronic Signature Experience Announced in New Upgrade Released By DocVerify
6. Prescott Vein Specialties Gets Electronic Upgrade
7. Electronic cigarettes: New route to smoking addiction for adolescents
8. Electronic Medical Records (EMR) Market Worth $9,957 Million by 2015 - New Report by MarketsandMarkets
9. Wholesale Electronics Center from China Updates Its Website
10. New Customizable Electronic Continuing Education (CE) Portal Streamlines the Delivery of Education Programs for Healthcare Organizations and Associations
11. GUMBOS promise new drugs and electronics: American Chemical Society Prized Science video
Post Your Comments:
Related Image:
Electronic medication alerts designed with provider in mind reduce prescribing errors
(Date:6/25/2016)... ... 2016 , ... "With 30 hand-drawn hand gesture animations, FCPX users can easily ... of Pixel Film Studios. , ProHand Cartoon’s package transforms over 1,300 hand-drawn pictures ... . Simply select a ProHand generator and drag it above media or text in ...
(Date:6/25/2016)... ... 2016 , ... Conventional wisdom preaches the benefits of moderation, whether it’s a ... the bar too high can result in disappointment, perhaps even self-loathing. However, those who ... , Research from reveals that behind the tendency to set ...
(Date:6/24/2016)... Dallas, Texas (PRWEB) , ... June 24, 2016 ... ... 12th International Conference and Scientific Sessions in Dallas that it will receive two ... Announcement of the grants came as PHA marked its 25th anniversary by recognizing ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm Slone ... executive with extensive sequencing and genomics experience, as Vice President of North American Capital ... will be responsible for leading the sales team in the commercialization of the HTG ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... N.J. , June 24, 2016  Collagen ... the design, development and manufacturing of collagen and ... regeneration announced today that Bill Messer ... and Marketing to further leverage the growing portfolio ... medical devices. Bill joins the Collagen ...
(Date:6/24/2016)... , June 24, 2016 The Academy ... of recommendations that would allow biopharmaceutical companies ... with entities that make formulary and coverage decisions, a ... "value" of new medicines. The recommendations address ... not appear on the drug label, a prohibition that ...
(Date:6/24/2016)...   Pulmatrix, Inc ., (NASDAQ: PULM ... announced today that it was added to the Russell ... comprehensive set of U.S. and global equity indexes on ... milestone for Pulmatrix," said Chief Executive Officer Robert ... progress in developing drugs for crucial unmet medical needs, ...
Breaking Medicine Technology: