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A Qualitative Analysis of Prescription Activity and Alert Usage in a Computerized Physician Order Entry System

机译：计算机化医师订单进入系统中处方活动和警报用法的定性分析

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Medical alerts in CPOE are overridden in most cases. The need for alerting systems that are better adapted to physicians' needs and work processes is recognized. Our study aims to shed some light on how medical alerts are used and how they are integrated in the work process. Work analysis and interviews resulted in a hierarchical task analysis of prescription during ward rounds at the University Hospitals of Geneva. The results indicate that non-modal medical alerts are appreciated as an "insurance" for drugs that are out of the routine set. In the case of drugs that are often prescribed, alerts are ignored as physicians feel comfortable prescribing them. Non-interrupting alerts do not cognitively overcharge physicians, but the question is how to display the numerous alerts so that they are easily accessible when needed. Further, inexperienced physicians lack a mental representation of what evaluations the system is doing with the prescriptions and when alerts are triggered. This may lead to lack of trust or overconfidence, both of them potentially harmful.
机译：在大多数情况下，CPOE中的医疗警报被覆盖。需要对更好地适应医生需求和工作流程的警报系统的需求。我们的研究旨在阐明使用医疗警报的使用以及如何整合在工作过程中。工作分析和访谈导致在日内瓦大学医院的病房回合中的处方分析分析。结果表明，非莫代尔医疗警报被议案中的药物作为“保险”。在经常被规定的药物的情况下，由于医生觉得舒适的处方，警报被忽略。不断中断警报未认识到医生，但问题是如何显示众多警报，以便在需要时可以轻松访问。此外，缺乏经验的医生缺乏系统对该系统与处方进行的评估以及触发警报时的精神表现。这可能导致缺乏信任或过度信任，这两个都可能有害。

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