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How the presentation of patient information and decision-support advisories influences opioid prescribing behavior: A
Mustafa I Hussain1, Ariana M Nelson2, Brent G Yeung2
1Department of Informatics, University of California, Irvine, Irvine, California, USA.
Objective:
The United States faces an opioid crisis. Integrating prescription drug monitoring programs into electronic health records offers promise to improve opioid prescribing practices. This study aimed to evaluate 2 different user interface designs for prescription drug monitoring program and electronic health record integration.
Materials And Methods:
Twenty-four resident physicians participated in a randomized controlled experiment using 4 simulated patient cases. In the conventional condition, prescription opioid histories were presented in tabular format, and computerized clinical decision support (CDS) was provided via interruptive modal dialogs (ie, pop-ups). The alternative condition featured a graphical opioid history, a cue to visit that history, and noninterruptive CDS. Two attending pain specialists judged prescription appropriateness.
Results:
Participants in the alternative condition wrote more appropriate prescriptions. When asked after the experiment, most participants stated that they preferred the alternative design to the conventional design.
Conclusions:
How patient information and CDS are presented appears to have a significant influence on opioid prescribing behavior.
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