Navigation Links
Electronic medication alerts designed with provider in mind reduce prescribing errors
Date:3/25/2014

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
caisen@iupui.edu
317-843-2276
Indiana University
Source:Eurekalert  

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. SeeTips.com 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 $9,957 Million by 2015 - New Report by MarketsandMarkets
9. Wholesale Electronics Center from China PriceAngels.com Updates Its Website
10. New Customizable Electronic Continuing Education (CE) Portal Streamlines the Delivery of Education Programs for Healthcare Organizations and Associations
11. GUMBOS promise new drugs and electronics: American Chemical Society Prized Science video
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Electronic medication alerts designed with provider in mind reduce prescribing errors
(Date:4/28/2017)... , ... April 28, 2017 , ... ... been previously exposed to more adverse experiences than children in the general population. ... such as abuse, neglect or other family challenges. While no fault of their ...
(Date:4/28/2017)... ... April 28, 2017 , ... Early detection and ... drug safety and minimize the cost of development. In this webinar, sponsored by ... cell lines and for cardiac toxicity using induced pluripotent stem cells (iPSCs). , ...
(Date:4/28/2017)... ... ... Hawkins, Pastor and Overseer at The House of Yahweh in Abilene, Texas, has published a ... does not. Yisrayl says with so many titles and names for the Creator, it’s ... with a little Scripture, backed with a lot of research, the truth is undeniable. ...
(Date:4/28/2017)... ... April 28, 2017 , ... Intellitec Solutions announced the ... implement a Microsoft Dynamics GP solution that integrates to their PointClickCare EHR software ... in long-term care, Brooke Grove now has the capability to achieve its goal ...
(Date:4/28/2017)... ... ... Rob Lowe is a popular actor that has been in many different ... purpose as the host of the “Informed” series. The program focuses on many important ... series focuses on thyroid cancer. , Although thyroid cancer is an uncommon type of ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... , April 19, 2017 Cardiology devices segment ... projected period The Cardiology Devices segment is likely ... US$ 15 Mn in 2018 over 2017. By the end ... market valuation close to US$ 700 Mn, expanding at a ... segment dominated the Asia Pacific reprocessed ...
(Date:4/19/2017)... DALLAS , April 19, 2017  Vanderbilt University ... first patients in Nashville , Tennesse ... Lower Esophageal Sphincter Stimulation for GERD (LESS GERD) trial. ... to provide long-term reflux control by restoring normal function ... nearly 65 million people in the United ...
(Date:4/19/2017)... HANOVER, N.J. , April 19, 2017 /PRNewswire/ ... conducted by the National Heart, Lung, and Blood ... (NIH) demonstrating that 58% of patients with treatment-naïve ... six months when treated with eltrombopag at the ... 1 . The study evaluated three sequential treatment ...
Breaking Medicine Technology: