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. 2012 Jan;73(1):115-25.
doi: 10.1111/j.1365-2125.2011.04058.x.

Physicians' reported needs of drug information at point of care in Sweden

Pia Bastholm Rahmner  1 , Birgit Eiermann, Seher Korkmaz, Lars L Gustafsson, Magnus Gruvén, Simon Maxwell, Hans-Georg Eichle, Anikó Vég
Affiliations

Physicians' reported needs of drug information at point of care in Sweden

Pia Bastholm Rahmner et al. Br J Clin Pharmacol. 2012 Jan.

Abstract

Aims: Relevant and easily accessible drug information at point-of-care is essential for physicians' decision making when prescribing. However, the information available by using Clinical Decision Support Systems (CDSSs) often does not meet physicians' requirements. The Summary of Product Characteristics (SmPC) is statutory information about drugs. However, the current structure, content and format of SmPCs make it difficult to incorporate them into CDSSs and link them to relevant patient information from the Electronic Health Records. The aim of the study was to evaluate the perceived needs for drug information among physicians in Sweden.

Methods: We recruited three focus group discussions with 18 physicians covering different specialities. The information from the groups was combined with a questionnaire administered at the beginning of the group discussions.

Results: Physicians reported their needs for knowledge databases at the point of drug prescribing. This included more consistent information about existing and new drugs. They also wished to receive automatically generated alerts for severe drug-drug interactions and adverse effects, and to have functions for calculating glomerular filtration rate to enable appropriate dose adjustments to be made for elderly patients and those with impaired renal function. Additionally, features enhancing electronic communication with colleagues and making drug information more searchable were suggested.

Conclusions: The results from the current study showed the need for knowledge databases which provide consistent information about new and existing drugs. Most of the required information from physicians appeared to be possible to transfer from current SmPCs to CDSSs. However, inconsistencies in the SmPC information have to be reduced to enhance their utility.

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References

    1. Gustafsson LL, Wettermark B, Godman B, Andersén-Karlsson E, Bergman U, Hasselström J, Hensjö L-O, Hjemdahl P, Jägre I, Julander M, Ringertz B, Schmidt D, Sjöberg S, Sjöqvist F, Stiller C-O, Törnqvist E, Tryselius R, Vitols S, von Bahr C, for the Regional Drug Expert C The ‘wise list’– a comprehensive concept to select, communicate and achieve adherence to recommendations of essential drugs in ambulatory care in Stockholm. Basic Clin Pharmacol Toxicol. 2011;108:224–33. - PubMed
    1. Seidling H, Al Barmawi A, Kaltschmidt J, Bertsche T, Pruszydlo M, Haefeli W. Detection and prevention of prescriptions with excessive doses in electronic prescribing systems. Eur J Clin Pharmacol. 2007;63:1185–92. - PubMed
    1. Böttiger Y, Laine K, Andersson ML, Korhonen T, Molin B, Ovesjö ML, Tirkkonen T, Rane A, Gustafsson LL, Eiermann B. SFINX –a drug-drug-interaction database designed for clinical decision support systems. Eur J Clin Pharmacol. 2009;65:627–33. - PubMed
    1. Kuperman GJ, Bobb A, Payne TH, Avery AJ, Gandhi TK, Burns G, Classen DC, Bates DW. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2007;14:29–40. - PMC - PubMed
    1. Eiermann B, Bastholm Rahmner P, Korkmaz S, Lilja B, Veg A, Wettermark B, Gustafsson L-L. Knowledge databases for clinical decision support in drug prescribing- development, quality assurance, management, integration, implementation and evaluation of clinical value. 2010. Chapter in Clinical Decision Support. In. published online Vienna 2010.

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