Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey

Jung, Minoa; Hoerbst, A; Hackl, W O; Kirrane, F; Borbolla, D; Jaspers, M W; Oertle, M; Koutkias, V; Ferret, L; Massari, P; Lawton, K; Riedmann, D; Darmoni, S; Maglaveras, N; Lovis, Christian; Ammenwerth, E

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Title		Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey
Authors		Jung, Minoa Hoerbst, A Hackl, W O Kirrane, F Borbolla, D Jaspers, M W Oertle, M Koutkias, V Ferret, L Massari, P Lawton, K Riedmann, D Darmoni, S Maglaveras, N Lovis, Christian Ammenwerth, E show all authors [1 - 16]
Published in		Methods of Information in Medicine. 2013, vol. 52, no. 2, p. 99-108
Abstract		OBJECTIVES: To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE. METHODS: A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to participate. Eight of the hospitals had different CPOE systems in use, and three of the participating hospitals were not using a CPOE system. RESULTS: 1,018 physicians participated. The general attitude of the physicians towards CPOE alerting is positive and is found to be mostly independent of the country, the specific organizational settings in the hospitals and their personal experience with CPOE systems. Both quantitative and qualitative results show that the majority of the physicians, both CPOE-users and non-users, appreciate the benefits of alerting in CPOE systems on medication safety. However, alerting should be better adapted to the clinical context and make use of more sophisticated ways to present alert information. The vast majority of physicians agree that additional information regarding interactions is useful on demand. Around half of the respondents see possible alert overload as a major problem; in this regard, physicians in hospitals with sophisticated alerting strategies show partly better attitude scores. CONCLUSIONS: Our results indicate that the way alerting information is presented to the physicians may play a role in their general attitude towards alerting, and that hospitals with a sophisticated alerting strategy with less interruptive alerts tend towards more positive attitudes. This aspect needs to be further investigated in future studies.
Keywords		Medical order entry systems — Clinical decision support systems — Attitude — Questionnaires — Alerting
Identifiers		DOI: 10.3414/ME12-02-0007 PMID: 23187311
Full text		Article (Published version) (901 Kb) - Limited access to UNIGE
Structures		Faculté de médecine / Section de médecine clinique / Département de radiologie et informatique médicale
Research group		Interfaces Homme-machine en milieu clinique (610)
Citation (ISO format)		JUNG, Minoa et al. Attitude of physicians towards automatic alerting in computerized physician order entry systems. A comparative international survey. In: Methods of Information in Medicine, 2013, vol. 52, n° 2, p. 99-108. https://archive-ouverte.unige.ch/unige:32835