Physicians' Perceptions on the usefulness of contextual information for prioritizing and presenting alerts in computerized physician order entry systems

BMC Medical Informatics and Decision Making

Research Article

Kitta Lawton¹  Monique W Jaspers²  Werner O Hackl³  Daniel Riedmann³  Alexander Hoerbst³  Elske Ammenwerth³  Martin Jung³  Laurie Ferret⁴ 

[1] Corporate IT Capital Region, Copenhagen, Denmark;Department of Medical Informatics, Academic Medical Center - University of Amsterdam, Amsterdam, The Netherlands;Institute of Health Informatics, UMIT - University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria;Pharmacy Department, Hospital of Denain, Denain, France;EA2694, University Hospital of Lille, Lille, France;

关键词: CPOE;    Computerized physician order entry;    CDS;    Computerized decision support;    Contextualization;    Clinical context;    Alert fatigue;    Alert overload;    Physician survey;   

DOI  :  10.1186/1472-6947-12-111

 received in 2012-01-12, accepted in 2012-09-27,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundOne possible approach towards avoiding alert overload and alert fatigue in Computerized Physician Order Entry (CPOE) systems is to tailor their drug safety alerts to the context of the clinical situation. Our objective was to identify the perceptions of physicians on the usefulness of clinical context information for prioritizing and presenting drug safety alerts.MethodsWe performed a questionnaire survey, inquiring CPOE-using physicians from four hospitals in four European countries to estimate the usefulness of 20 possible context factors.ResultsThe 223 participants identified the ‘ severity of the effect’ and the ‘clinical status of the patient’ as the most useful context factors. Further important factors are the ‘complexity of the case’ and the ‘risk factors of the patient’.ConclusionsOur findings confirm the results of a prior, comparable survey inquiring CPOE researchers. Further research should focus on implementing these context factors in CPOE systems and on subsequently evaluating their impact.

【 授权许可】

Unknown   
© Jung et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.