User perspectives on an electronic decision-support tool performing comprehensive medication reviews - a focus group study with physicians and nurses

BMC Medical Informatics and Decision Making
Tuomas KoskelaHelena Liira

Abstract

Although a number of studies have evaluated the effectiveness of computerized decision-support systems (CDSS), there is lack of data on user perspectives, barriers, and facilitators to the implementation of CDSSs in real-life surroundings. The aim of this study was to assess individually perceived barriers, facilitators and ideas influencing the CDSS implementation and usability. In this qualitative study, five focus groups were carried out with physicians and nurses separately at the Tampere City Health Center, Finland. The participants were end-users of the EBMeDS computerized decision support system. An explorative data content analysis was applied. The most important barrier to benefitting from CDSS was the lack of structured and coded diagnosis documentation and outdated medication information in the electronic health records. This led to false alerts and distrust towards the system. Among the major facilitators found were e.g. the beneficial reminders that helped practitioners take into account matters otherwise ignored; automatic glomerular filtration rate (GFR) calculations; medication safety checks; and the summaries in the single medication review at a glance. Physicians' and nurses' are keen to use the CDSS and it ma...Continue Reading

References

Feb 27, 2003·The Medical Journal of Australia·John W Bennett, Paul P Glasziou
May 18, 2005·Journal of Biomedical Informatics·Emily S PattersonSteven M Asch
May 17, 2006·Annals of Internal Medicine·Basit ChaudhryPaul G Shekelle
Apr 27, 2007·Journal of the American Medical Informatics Association : JAMIA·Saeid EslamiNicolette F de Keizer
Jan 13, 2010·Journal of the American Medical Informatics Association : JAMIA·Annette MoxeySallie-Anne Pearson
Jan 25, 2012·The American Journal of Medicine·Daniel R MurphyHardeep Singh
Jul 4, 2012·Annals of Internal Medicine·Tiffani J BrightDavid Lobach
Oct 30, 2013·Journal of the American Medical Informatics Association : JAMIA·Karen C NanjiDavid W Bates
Nov 15, 2014·Computers, Informatics, Nursing : CIN·Ronald Piscotty, Beatrice Kalisch

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Citations

Jun 30, 2018·International Journal of Health Care Quality Assurance·Rose-Marie Johansson-PajalaKerstin Jorsäter Blomgren
Dec 5, 2019·European Journal of Hospital Pharmacy. Science and Practice·Helen BellBryony Dean Franklin
Jan 23, 2020·The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmières·Tanya AgnihotriPatricia Trbovich
Jan 23, 2018·The Cochrane Database of Systematic Reviews·Alberto VaonaLorenzo Moja
Apr 7, 2020·Journal of Medical Internet Research·Jingxuan WangMartin Cs Wong
Apr 16, 2021·Health Informatics Journal·Olufisayo Olusegun Olakotan, Maryati Mohd Yusof

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Software Mentioned

EBMeDS CDSS
EBMeDS
CDSS
EBMeDS®
EBMeDS ( electronic Decision Support

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