ArticleBMJ open quality2025
Management and governance of medication prescribing alerts among hospitals in Japan: a nationwide survey.
Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundEffective medication prescribing alerts are crucial for ensuring medication safety. However, the frequent occurrence of low-specificity alerts contributes to alert fatigue, where repeated non-critical alerts diminish clinicians' responsiveness to all alerts. Striking a balance between reducing alert fatigue and ensuring the effective functioning of critical alerts remains a key challenge in medication safety. Nevertheless, no nationwide surveys or reports from government bodies or academic societies have addressed alert management. Therefore, this study aimed to investigate the current landscape of alert management systems, clarify existing challenges in managing medication prescribing alerts and support the development of policies.
methodsWe conducted a nationwide survey to examine how medication prescribing alert systems are managed in Japanese hospitals. Hospitals recognised for maintaining high standards in patient safety were selected to provide insights into current alert management practices. Survey invitation letters were sent to the healthcare information systems departments of the eligible hospitals. Participants were asked to complete the survey through a web-based form (Google Forms) or by mail. Data collection took place between December 2021 and January 2022.
resultsQuestionnaires were sent to 1055 hospitals, with responses received from 259 (response rate of 24.5%). A total of 110 (42.6%) hospitals reported being unaware of all types of medication prescribing alerts. Many hospitals reported an inability to measure alert data. Only 42 (16.3%) hospitals had established policies and procedures for adding new alerts.
conclusionsOnly a few hospitals have a system for the quantitative evaluation and comprehensive control of medication prescribing alerts. Each hospital should implement a policy and procedure for alert management and develop an alert data measuring system.
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