Pediatricians’ Understanding and Experiences of an Electronic Clinical-Decision-Support-System

Authors

  • Per Nydert Karolinska Institutet
  • Anikó Vég Uppsala University
  • Pia Bastholm-Rahmner Karolinska Institutet
  • Synnöve Lindemalm Karolinska Institutet

DOI:

https://doi.org/10.5210/ojphi.v9i3.8149

Abstract

Objectives: Subsequent dosing errors after implementing an Electronic Medical Record (EMR) at a pediatric hospital in Sweden led to the development, in close collaboration with the clinical profession, of a Clinical Decision Support System (CDSS) with Dose Range Check and Weight Based Dose Calculation integrated directly in the EMR. The aim of this study was to explore the understanding and experiences of the CDSS among Swedish pediatricians after one year of practice.

Methods: Semi-structured interviews with physicians at different levels of the health care system were performed with seventeen pediatricians working at three different pediatrics wards in Stockholm County Council. The interviews were analysed with a thematic analysis without pre-determined categories.

Results: Six categories and fourteen subcategories emerged from the analysis. The categories included the use, the benefit, the confidence, the situations of disregards, the misgivings/risks and finally the development potential of the implemented CDSS with Weight Based Dose Calculation and Dose Range Check.  

Conclusions:  A need for CDSS in the prescribing for children is evident but also the need for further development based on the practical knowledge of the clinical profession.

Author Biographies

Per Nydert, Karolinska Institutet

Department of Clinical Science, Intervention and Technology (CLINTEC)

Anikó Vég, Uppsala University

Department of Public Health and Caring Sciences, Health Services Research

Pia Bastholm-Rahmner, Karolinska Institutet

Department of Learning informatics, Management and Ethics. Medical Management Centre (MMC)

Synnöve Lindemalm, Karolinska Institutet

Department of Clinical Science, Intervention and Technology (CLINTEC)

Downloads

Published

2017-12-30

How to Cite

Nydert, P., Vég, A., Bastholm-Rahmner, P., & Lindemalm, S. (2017). Pediatricians’ Understanding and Experiences of an Electronic Clinical-Decision-Support-System. Online Journal of Public Health Informatics, 9(3). https://doi.org/10.5210/ojphi.v9i3.8149

Issue

Section

Original Articles