| Medication decision-making on hospital ward-rounds. | |
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MedLine Citation:
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PMID: 21893883 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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This research explored the decision-making process of selecting medicines for prescription on hospital ward-rounds. We aimed to determine when and with whom medications were discussed, and in particular, whether shared decision making (SDM) occurred on ward-rounds. As a low level of computerized decision support was in place in the hospital at the time, we also examined whether the decision support aided in any medication discussions. Fourteen specialty teams (46 doctors) were shadowed by the investigator while on ward-rounds and all verbal communication about medications was noted. Most medication discussions took place away from the patient bedside and the majority took place between two or more doctors. While a great deal of doctor-patient communication regarding medications took place on ward-rounds, very little of this comprised SDM. More frequently, doctors informed patients of the medications they would be or were currently taking. The computerized decision support had little impact on treatment decision-making. While the value of SDM is often acknowledged in the literature, it appears to be rarely practiced on hospital ward-rounds. |
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Authors:
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Melissa Baysari; Johanna Westbrook; Richard Day |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Studies in health technology and informatics Volume: 169 ISSN: 0926-9630 ISO Abbreviation: Stud Health Technol Inform Publication Date: 2011 |
Date Detail:
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Created Date: 2011-09-06 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9214582 Medline TA: Stud Health Technol Inform Country: Netherlands |
Other Details:
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Languages: eng Pagination: 935-9 Citation Subset: T |
Affiliation:
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Australian Institute of Health Innovation, Faculty of Medicine, University of New South Wales, Sydney, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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