ArticleJournal of the American Medical Informatics Association : JAMIA
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Article in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Assessing the Satisfaction of Physicians in Using the Electronic Prescription System of Social Security in Iran: A Cross-Sectional Study.Health science reports · 2025Article
- The potential for leveraging machine learning to filter medication alerts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Reviewing Data Integrated for PBPK Model Development to Predict Metabolic Drug-Drug Interactions: Shifting Perspectives and Emerging Trends.Frontiers in pharmacology · 2021Review
- Technological Capabilities to Assess Digital Excellence in Hospitals in High Performing Health Care Systems: International eDelphi Exercise.Journal of medical Internet research · 2020Article
- The Use of a Decision Support System in Swedish Pharmacies to Identify Potential Drug-Related Problems-Effects of a National Intervention Focused on Reviewing Elderly Patients' Prescriptions.Pharmacy (Basel, Switzerland) · 2020Article
- A Minimal Information Model for Potential Drug-Drug Interactions.Frontiers in pharmacology · 2020Article
- Unexpected Increase in Benzodiazepine Prescriptions Related to the Introduction of an Electronic Prescribing Tool: Evidence from Multicenter Hospital Data.Diagnostics (Basel, Switzerland) · 2019Article
- Potential drug-related problems detected by electronic expert support system: physicians' views on clinical relevance.International journal of clinical pharmacy · 2015Article
- Article
- Development of a hemodialysis safety checklist using a structured panel process.Canadian journal of kidney health and disease · 2015Article
- Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2014Article
- Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management.British journal of clinical pharmacology · 2013Article
- Medication safety and knowledge-based functions: a stepwise approach against information overload.British journal of clinical pharmacology · 2013Article
- 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 · 2012Article
- Article
- Computerized provider-order entry: challenges, achievements, and opportunities.Journal of the American Medical Informatics Association : JAMIAArticle
- Electronic health record functionality needed to better support primary care.Journal of the American Medical Informatics Association : JAMIAArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine what information can be helpful in prioritizing and presenting medication alerts according to the context of the clinical situation. To assess the usefulness of different ways of delivering medication alerts to the user.
designAn international Delphi study with two quantitative rounds. 69 researchers with expertise in computerized physician order entry (CPOE) systems were asked to estimate the usefulness of 20 possible context factors, and to assess the potential impact of six innovative ways of delivering alert information on adverse drug event (ADE) rates.
resultsParticipants identified the following top five context information items (in descending order of usefulness): (1) severity of the effect of the ADE the alert refers to; (2) clinical status of the patient; (3) probability of occurrence of the ADE the alert refers to; (4) risk factors of the patient; and (5) strength of evidence on which the alert is built. The ways of delivering alert information with the highest estimated ADE reduction potential are active alerting, proactive prescription simulation and a patient medication module that gives patient-oriented alert information. LIMITATIONS: Most participants had a research-oriented focus; therefore the results may not reflect the opinions of CPOE users or CPOE implementers.
conclusionThe study results may provide CPOE system developers and healthcare institutions with information on how to design more effective alert mechanisms.
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