Overview

The study demonstrates that a computerized provider order entry prototype which initiates prescription entry tasks with indication may be associated with saved time and effort, reduced medication errors, and increased clinician satisfaction compared to two commercially available modules.

Department

Internal Medicine

Division

General Internal Medicine

Collaborators

Pamela M. Garabedian, MS
Adam Wright, PhD
Isabella Newbury, BS
Lynn A. Volk, MHS
Alejandra Salazar, PharmD
Mary G. Amato, PharmD, MPH
Aaron W. Nathan, MS
Katherine J. Forsythe, BA
William L. Galanter, MD, PhD
Kevin Kron, BS
Sara Myers, BS
Joanna Abraham, PhD
Sarah K. McCord, MLIS, MPH
Tewodros Eguale, MD, PhD
David W. Bates, MD, MSc
Gordon D. Schiff, MD

Status/Stage of Development

Completed

Funding Sources

This project was funded by AHRQ grant R01 HS023694.

Measurement

The study employs usability tests measuring efficiency, error rate, and satisfaction of users entering orders with indication with the new prototype and 2 existing modules.

Results

The mean time to complete the prescribing task with the prototype was 1.78 minutes (SD=1.17) compared to 3.37 min (SD=1.90) for vendor 1 and 2.93 minutes (SD=1.52) for vendor 2.

The number of clicks required to complete the prescribing task was significantly less with the prototype.

The number of errors with the prototype was 7 out of 128 prescribing tasks compared to 38 out of 128 tasks using a vendor system.

Practice Setting

Health Systems Outpatient Practices

Sources

1. Garabedian PM, Wright A, Newbury I, et al. Comparison of a Prototype for Indications-Based Prescribing With 2 Commercial Prescribing Systems. JAMA Netw open. 2019;2(3):e191514. doi:10.1001/jamanetworkopen.2019.1514