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Automated order-entry mechanisms to influence prescribing
G T Schumock1, T R Marwaha, J M McBride
1University of Illinois at Chicago.
Summary
Automated on-line prescribing prompts in hospitals guide healthcare providers toward preferred medications and regimens. Evidence shows these prompts effectively improve drug selection for H2-antagonants and antibiotics.
Area of Science:
- Health Informatics
- Clinical Pharmacy
- Health Services Research
Background:
- On-line prescribing systems are common in U.S. hospitals, offering significant advantages.
- Automated prompts within these systems can guide prescribers to optimal drug choices, dosages, and regimens.
Purpose of the Study:
- To adapt and evaluate the effectiveness of on-line screen prompts in facilitating appropriate prescribing practices.
- To align prescribing decisions with institutional guidelines, such as Pharmacy and Therapeutic committee directives and drug-usage evaluations.
Main Methods:
- Screen prompts were adapted to align with institutional prescribing guidelines and initiatives.
- The effectiveness of these prompts was assessed using objective evidence for specific drug classes.
Main Results:
- Objective evidence demonstrates the effectiveness of on-line prompts for H2-antagonists.
- On-line prompts also showed effectiveness in guiding appropriate antibiotic prescribing.
Conclusions:
- On-line prescribing prompts are a valuable tool for promoting appropriate medication use in hospitals.
- As healthcare increasingly adopts computer technology, on-line interventions will likely play a larger role in optimizing prescribing.