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Physicians' Perceptions on the usefulness of contextual information for prioritizing and presenting alerts in computerized physician order entry systems

机译:医师对上下文信息在计算机医师订单输入系统中确定优先级和呈现警报的有用性的看法

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Background One possible approach towards avoiding alert overload and alert fatigue in Computerized Physician Order Entry (CPOE) systems is to tailor their drug safety alerts to the context of the clinical situation. Our objective was to identify the perceptions of physicians on the usefulness of clinical context information for prioritizing and presenting drug safety alerts. Methods We performed a questionnaire survey, inquiring CPOE-using physicians from four hospitals in four European countries to estimate the usefulness of 20 possible context factors. Results The 223 participants identified the ‘severity of the effect’ and the ‘clinical status of the patient’ as the most useful context factors. Further important factors are the ‘complexity of the case’ and the ‘risk factors of the patient’. Conclusions Our findings confirm the results of a prior, comparable survey inquiring CPOE researchers. Further research should focus on implementing these context factors in CPOE systems and on subsequently evaluating their impact.
机译:背景技术在计算机医师医嘱录入(CPOE)系统中避免警报过载和警报疲劳的一种可能方法是根据临床情况调整其药物安全警报。我们的目标是确定医师对临床情况信息对确定优先次序和提出药物安全警报的有用性的看法。方法我们进行了问卷调查,向来自欧洲四个国家的四家医院的使用CPOE的医生进行了调查,以评估20种可能的背景因素的有用性。结果223名参与者将“效果的严重性”和“患者的临床状况”确定为最有用的背景因素。进一步重要的因素是“案件的复杂性”和“患者的风险因素”。结论我们的发现证实了先前对CPOE研究人员进行可比性调查的结果。进一步的研究应侧重于在CPOE系统中实现这些环境因素并随后评估其影响。

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