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Physicians' perceptions of possibilities and obstacles prior to implementing a computerised drug prescribing support system

P. Bastholm Rahmner (Behavioural Scientist, Stockholm County Council, Division of Drug Management and Informatics, Huddinge, Sweden, also at the Medical Management Centre, Karolinska Institutet, Stockholm, Sweden.)
E. Andersén‐Karlsson (Senior Doctor and Associate Professor at the Department of Medicine, South Stockholm General Hospital, Stockholm, Sweden.)
T. Arnhjort (Head of Physicians in the Accident and Emergency Department, South Stockholm General Hospital, Stockholm, Sweden.)
M. Eliasson (Project Leader of Pilot Tests, Stockholm County Council, Division of Drug Management and Informatics, Huddinge, Sweden.)
L.‐L. Gustafsson (Stockholm County Council, Division of Drug Management and Informatics, Stockholm, Sweden and is Professor, Division of Clinical Pharmacology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.)
L. Jacobsson (Head of Development at Stockholm County Council, Division of Drug Management and Informatics, Huddinge, Sweden.)
M.‐L. Ovesjö (Stockholm County Council, Division of Drug Management and Informatics, Huddinge, Sweden.)
U. Rosenqvist (Professor, Department of Public Health and Caring Sciences, Health Service Research, University of Uppsala, Uppsala, Sweden.)
S. Sjöviker (S. Sjöviker is a Research Nurse at Stockholm County Council, Division of Drug Management and Informatics, Huddinge, Sweden.)
G. Tomson (Medical Management Centre, Karolinska Institutet, Stockholm, Sweden and is Associate Professor, Department of Public Health Sciences, Division of International Health Care Research (IHCAR), Karolinska Institutet, Stockholm, Sweden.)
I. Holmström (Scientist at the Department of Public Health and Caring Sciences, Health Service Research, University of Uppsala, Uppsala, Sweden.)

International Journal of Health Care Quality Assurance

ISSN: 0952-6862

Article publication date: 1 June 2004

Abstract

Seeks to identify physicians' perceptions of possibilities and obstacles prior to implementing a computerised drug prescribing support system. Details a descriptive, qualitative study, with semi‐structured individual interviews of 21 physicians in the Accident and Emergency Department of South Stockholm General Hospital. Identifies four descriptive categories for possibilities and obstacles. Concludes that gaining access to patient drug history enables physicians to carry out work in a professional way – a need the computerised prescription support system was not developed for and thus cannot fulfil. Alerts and producer‐independent drug information are valuable in reducing workload. However, technical prerequisites form the base for a successful implementation. Time must be given to adapt to new ways of working.

Keywords

Citation

Bastholm Rahmner, P., Andersén‐Karlsson, E., Arnhjort, T., Eliasson, M., Gustafsson, L.‐., Jacobsson, L., Ovesjö, M.‐., Rosenqvist, U., Sjöviker, S., Tomson, G. and Holmström, I. (2004), "Physicians' perceptions of possibilities and obstacles prior to implementing a computerised drug prescribing support system", International Journal of Health Care Quality Assurance, Vol. 17 No. 4, pp. 173-179. https://doi.org/10.1108/09526860410541487

Publisher

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Emerald Group Publishing Limited

Copyright © 2004, Emerald Group Publishing Limited