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J Biomed Inform ; 44(3): 463-8, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20637899

RESUMO

Medical applications frequently contain a wide range of functionalities. Users are often unaware of all of the functionalities available. More effective ways of delivering information about available functionalities to the users are needed. We conducted a pseudo-randomized controlled trial to determine whether interruptive alerts will increase utilization of several functionalities by the users of the Pre-Admission Medication List (PAML) Builder application at two academic medical centers. In a log-linear model, alerts increased total utilization of the promoted functionalities per PAML built by 70% compared to the controls at the site level (p<0.0001). At the user level, frequency of utilization of the PAML Builder functionalities by individual users increased by 0.03 for every extra alert shown to the user (p<0.0001). Alerts led to a nearly 2-fold increase in utilization of the promoted functionalities. Interruptive alerts are an effective method of delivering information about application functionalities to users.


Assuntos
Sistemas de Registro de Ordens Médicas/estatística & dados numéricos , Erros de Medicação/prevenção & controle , Reconciliação de Medicamentos , Sistemas de Apoio a Decisões Clínicas , Quimioterapia Assistida por Computador/estatística & dados numéricos , Humanos , Modelos Lineares , Interface Usuário-Computador
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