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Examining physicians' drug order recording behavior.

R E Johnson, D J Azevedo, W H Campbell

    Medical Care
    |May 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

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    A computer-based drug profile system did not improve how completely physicians recorded drug order information. This study highlights potential unreliability in using drug notations for complete drug use data.

    Area of Science:

    • Health Informatics
    • Medical Record Management
    • Clinical Pharmacy

    Background:

    • Physician drug order recording is crucial for patient safety and data integrity.
    • The completeness of drug-related data in medical records can be variable.
    • Computer-based systems are increasingly used to support clinical decision-making.

    Purpose of the Study:

    • To evaluate the impact of a computer-based drug profile on physicians' drug order recording behaviors.
    • To determine if providing physicians with drug profile information enhances the completeness of recorded drug data.
    • To assess the reliability of drug notations and prescriptions as indicators of drug use.

    Main Methods:

    • An experimental design was employed to study physician recording behaviors.

    Related Experiment Videos

  • A computer-based drug profile system was implemented for a selected group of health plan members in 1973.
  • Physicians' outpatient medical records were analyzed to examine drug order notations for completeness.

    • Main Results:

    • The availability of the computer-based drug profile did not significantly influence the completeness of drug-related data recorded by physicians.
    • Analysis of the data suggested that drug notations and prescriptions may not always represent complete and reliable drug use information.

    Conclusions:

    • Computer-based drug profiles, as implemented in this study, may not be sufficient to improve physician data recording practices.
    • Healthcare professionals should exercise caution when interpreting drug notations and prescriptions due to potential incompleteness and unreliability.