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Related Experiment Videos

How to design computerized alerts to safe prescribing practices.

Adrianne Feldstein1, Steven R Simon, Jennifer Schneider

  • 1Center for Health Research, Kaiser Permanente, Portland, Oregon, USA. adrianne.c.feldstein@kpchr.org

Joint Commission Journal on Quality and Safety
|November 30, 2004
PubMed
Summary

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Healthcare prescribers found medication safety alerts helpful but experienced delays and interpretation issues. Education strategies were developed to improve alert effectiveness and reduce errors.

Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Decision Support

Background:

  • Medication errors and adverse drug events are significant patient safety concerns.
  • Approximately 50% of medication errors originate during the order entry process.

Purpose of the Study:

  • To develop and evaluate medication safety alerts.
  • To create educational strategies for prescribers regarding alert utilization.

Main Methods:

  • Qualitative interviews were conducted with 20 primary care prescribers.
  • The study was set within Kaiser Permanente Northwest, a health maintenance organization with established computerized order entry.

Main Results:

  • Prescribers viewed alerts as beneficial for prescribing and preventive care information.

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  • Common issues included alert-related delays, interpretation difficulties, and repetitive alerts.
  • Most prescribers favored small-group, physician-led educational sessions.

    • Conclusions:

    • Study findings informed the development of an intervention strategy.
    • Alert text, tools, and educational content were refined based on prescriber feedback.
    • The focus was on enhancing effective prescriber use of safety alerts.