Methods Inf Med - Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey.

Tópicos

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Resumo

JECTIVES: To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE.METHODS: A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to participate. Eight of the hospitals had different CPOE systems in use, and three of the participating hospitals were not using a CPOE system.RESULTS: 1,018 physicians participated. The general attitude of the physicians towards CPOE alerting is positive and is found to be mostly independent of the country, the specific organizational settings in the hospitals and their personal experience with CPOE systems. Both quantitative and qualitative results show that the majority of the physicians, both CPOE-users and non-users, appreciate the benefits of alerting in CPOE systems on medication safety. However, alerting should be better adapted to the clinical context and make use of more sophisticated ways to present alert information. The vast majority of physicians agree that additional information regarding interactions is useful on demand. Around half of the respondents see possible alert overload as a major problem; in this regard, physicians in hospitals with sophisticated alerting strategies show partly better attitude scores.CONCLUSIONS: Our results indicate that the way alerting information is presented to the physicians may play a role in their general attitude towards alerting, and that hospitals with a sophisticated alerting strategy with less interruptive alerts tend towards more positive attitudes. This aspect needs to be further investigated in future studies.

Resumo Limpo

jectiv analyz attitud physician toward alert cpoe system differ hospit differ countri address various organiz technic set view physician current use cpoemethod crosssect quantit qualit questionnair survey invit physician eleven hospit nine countri particip eight hospit differ cpoe system use three particip hospit use cpoe systemresult physician particip general attitud physician toward cpoe alert posit found most independ countri specif organiz set hospit person experi cpoe system quantit qualit result show major physician cpoeuser nonus appreci benefit alert cpoe system medic safeti howev alert better adapt clinic context make use sophist way present alert inform vast major physician agre addit inform regard interact use demand around half respond see possibl alert overload major problem regard physician hospit sophist alert strategi show part better attitud scoresconclus result indic way alert inform present physician may play role general attitud toward alert hospit sophist alert strategi less interrupt alert tend toward posit attitud aspect need investig futur studi

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