I. Cho
Understanding responses to a renal dosing decision support system in primary care
Cho, I.; Slight, S.P.; Nanji, K.C.; Seger, D.L.; Dykes, P.C.; Bates, D.W.
Authors
S.P. Slight
K.C. Nanji
D.L. Seger
P.C. Dykes
D.W. Bates
Contributors
Christoph Ulrich Lehmann
Editor
Elske Ammenwerth
Editor
Christian Nøhr
Editor
Abstract
Renal dosing clinical decision support (CDS) systems have demonstrated clinical effectiveness and potential benefits for patient outcomes. However, the high override rates consistently reported are problematic and undesirable. To understand providers' use patterns of renal dosing CDS, we investigated the override reasons obtained from primary care practices affiliated with two teaching hospitals. We selected a stratified random sample of 300 alerts and reviewed electronic medical records. Appropriateness criteria and an inter-rater reliability process were used. We found that two thirds of alerts were overridden inappropriately, and this proportion was similar for frequent over-riders as compared to the remainder of physicians. These findings imply that strategies are needed to convince providers to accept more clinically appropriate suggestions, though they need to be broadly targeted.
Citation
Cho, I., Slight, S., Nanji, K., Seger, D., Dykes, P., & Bates, D. (2013). Understanding responses to a renal dosing decision support system in primary care. In C. U. Lehmann, E. Ammenwerth, & C. Nøhr (Eds.), Medinfo 2013 : proceedings of the 14th world congress on medical and health informatics (931-931). IOS Press. https://doi.org/10.3233/978-1-61499-289-9-931
Online Publication Date | Aug 1, 2013 |
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Publication Date | Aug 1, 2013 |
Deposit Date | Oct 30, 2013 |
Publicly Available Date | Aug 8, 2014 |
Publisher | IOS Press |
Pages | 931-931 |
Series Title | Studies in health technology and informatics. |
Book Title | Medinfo 2013 : proceedings of the 14th world congress on medical and health informatics. |
ISBN | 9781614992882 |
DOI | https://doi.org/10.3233/978-1-61499-289-9-931 |
Keywords | Clinical decision support systems, Electronic prescribing, Renal dosing, Primary health care. |
Additional Information | This book presents the proceedings of the MEDINFO 2013 conference, held in Copenhagen, Denmark, in August 2013. The theme of the conference is "Conducting medical informatics by converging technologies, conveying sciences and connecting people". |
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http://creativecommons.org/licenses/by-nc/4.0/
Copyright Statement
© 2013 IMIA and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License.
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