A Narrative Review of Medication-Related Clinical Decision Support

Brown, C.; Slight, S.P.; Husband, A.; Watson, N.; Bates, D.

Abstract

Objectives: A key element of the implementation and on-going use of an electronic prescribing (ePrescribing) system is ensuring that users are, and remain, sufficiently trained to use the system. Studies have suggested that insufficient training is associated with suboptimal use. However, it is not clear from these studies how clinicians are trained to use ePrescribing systems or the effectiveness of different approaches. We sought to describe the various approaches used to train qualified prescribers on ePrescribing systems and to identify whether users were educated about the pitfalls and challenges of using these systems. Methods: We performed a literature review, using a systematic approach across three large databases: Cumulative Index Nursing and Allied Health Literature (CINAHL), Embase and Medline were searched for relevant English language articles. Articles that explored the training of qualified prescribers on ePrescribing systems in a hospital setting were included. Key Findings: Our search of ‘all training’ approaches returned 1,155 publications, of which seven were included. A separate search of ‘online’ training found three relevant publications. Training methods in the ‘all training’ category included clinical scenarios, demonstrations and assessments. Regarding ‘online’ training approaches; a team at the University of Victoria in Canada developed a portal containing simulated versions of electronic health records, where individuals could prescribe for fictitious patients. Educating prescribers about the challenges and pitfalls of electronic systems was rarely discussed. Conclusions: A number of methods are used to train prescribers; however the lack of papers retrieved suggests a need for additional studies to inform training methods.

Citation

Brown, C., Slight, S., Husband, A., Watson, N., & Bates, D. (2015, April). A Narrative Review of Medication-Related Clinical Decision Support. Presented at Society of General Internal Medicine (SGIM) 38th Annual Meeting, Toronto, Canada

• Presentation Conference Type: Conference Paper (published)
• Conference Name: Society of General Internal Medicine (SGIM) 38th Annual Meeting
• Start Date: Apr 22, 2015
• End Date: Apr 25, 2015
• Publication Date: Apr 1, 2015
• Deposit Date: Apr 17, 2015
• Publicly Available Date: Jul 20, 2016
• Public URL: https://durham-repository.worktribe.com/output/1153490
• Publisher URL: http://connect.sgim.org/annualmeeting/home
• Additional Information: Conference date: April 22-25 2015