| Prescribers' interactions with medication alerts at the point of prescribing: A multi-method, in situ investigation of the human-computer interaction. | |
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MedLine Citation:
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PMID: 22296761 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE: Few studies have examined prescribers' interactions with medication alerts at the point of prescribing. We conducted an in situ, human factors investigation of outpatient prescribing to uncover factors that influence the prescriber-alert interaction and identify strategies to improve alert design. METHODS: Field observations and interviews were conducted with outpatient prescribers at a major Veterans Affairs Medical Center. Physicians, clinical pharmacists, and nurse practitioners were recruited across five primary care clinics and eight specialty clinics. Prescribers were observed in situ as they ordered medications for patients and resolved alerts. Researchers collected 351 pages of typed notes across 102 hours of observations and interviews. An interdisciplinary team identified emergent themes via inductive qualitative analysis. RESULTS: Altogether, 320 alerts were observed among 30 prescribers and their interactions with 146 patients. Qualitative analysis uncovered 44 emergent themes and 9 overarching factors, which were organized into a framework that describes the prescriber-alert interaction. Prescribers' ability to act on alerts was impeded by the alert interface, which did not adequately support all prescriber types. CONCLUSIONS: This empiric study produced a novel framework for understanding the prescriber-alert interaction. Results revealed key components of the alert interface that influence prescribers and indicate a need for more universal design. Actionable design recommendations are presented and may be used to enhance alert design and patient safety. |
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Authors:
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Alissa L Russ; Alan J Zillich; M Sue McManus; Bradley N Doebbeling; Jason J Saleem |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-1-30 |
Journal Detail:
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Title: International journal of medical informatics Volume: - ISSN: 1872-8243 ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
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Created Date: 2012-2-2 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9711057 Medline TA: Int J Med Inform Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Published by Elsevier Ireland Ltd. |
Affiliation:
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Department of Veterans Affairs, Health Services Research and Development Center of Excellence on Implementing Evidence-Based Practice, Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, IN, United States; Regenstrief Institute, Inc., Indianapolis, IN, United States; Department of Pharmacy Practice, Purdue University College of Pharmacy, West Lafayette, IN, United States; Indiana University (IU) Center for Health Services & Outcomes Research, Indianapolis, IN, United States. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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