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Medication safety and knowledge‐based functions: a stepwise approach against information overload
Author(s) -
Patapovas Andrius,
Dormann Harald,
Sedlmayr Brita,
Kirchner Melanie,
Sonst Anja,
Müller Fabian,
Pfistermeister Barbara,
PlankKiegele Bettina,
Vogler Renate,
Maas Renke,
CriegeeRieck Manfred,
Prokosch HansUlrich,
Bürkle Thomas
Publication year - 2013
Publication title -
british journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.216
H-Index - 146
eISSN - 1365-2125
pISSN - 0306-5251
DOI - 10.1111/bcp.12190
Subject(s) - psychological intervention , work flow , intervention (counseling) , medicine , work (physics) , information flow , presentation (obstetrics) , medical emergency , computer science , patient safety , nursing , surgery , engineering , mechanical engineering , industrial engineering , linguistics , philosophy , health care , economics , economic growth
Aims The aim was to improve medication safety in an emergency department ( ED ) by enhancing the integration and presentation of safety information for drug therapy. Methods Based on an evaluation of safety of drug therapy issues in the ED and a review of computer‐assisted intervention technologies we redesigned an electronic case sheet and implemented computer‐assisted interventions into the routine work flow. We devised a four step system of alerts, and facilitated access to different levels of drug information. System use was analyzed over a period of 6 months. In addition, physicians answered a survey based on the technology acceptance model TAM2 . Results The new application was implemented in an informal manner to avoid work flow disruption. Log files demonstrated that step I , ‘valid indication’ was utilized for 3% of the recorded drugs and step II ‘tooltip for well‐known drug risks’ for 48% of the drugs. In the questionnaire, the computer‐assisted interventions were rated better than previous paper based measures (checklists, posters) with regard to usefulness, support of work and information quality. Conclusion A stepwise assisting intervention received positive user acceptance. Some intervention steps have been seldom used, others quite often. We think that we were able to avoid over‐alerting and work flow intrusion in a critical ED environment.