TY - JOUR
T1 - In Pursuit of the Quadruple Aim
T2 - A Geriatric Prescribing Context’s Impact on Clinician Workflows and Alert Fatigue
AU - Drago, Kathleen
AU - De Lima, Bryanna
AU - Sharpe, Jackie
AU - Eckstrom, Elizabeth
N1 - Publisher Copyright:
© The Author(s) 2022.
PY - 2022/6
Y1 - 2022/6
N2 - The impact of a novel Geriatric Prescribing Context (GPC) on hospital clinicians’ prescribing workflows is still unknown. A cross-sectional survey was distributed to 346 inpatient pharmacists, physicians, and advance practice providers employed at three pilot site hospitals affected by the GPC to assess awareness and impact to usual workflow. The GPC, a set of medication default doses and frequencies for patients 75 years and older, was unnoticed by 74% of survey respondents (n = 119) with pharmacists more likely to be aware of the context than prescribers. The impact of the GPC on clinicians’ workflow differed by setting, with academic respondents reporting no change or decreased time to write or verify orders, and community respondents reporting no change or increased time to write or verify orders. The GPC has smoothly integrated into usual prescribing workflows for both prescribers and pharmacists and both overall reported positive responses to the implementation.
AB - The impact of a novel Geriatric Prescribing Context (GPC) on hospital clinicians’ prescribing workflows is still unknown. A cross-sectional survey was distributed to 346 inpatient pharmacists, physicians, and advance practice providers employed at three pilot site hospitals affected by the GPC to assess awareness and impact to usual workflow. The GPC, a set of medication default doses and frequencies for patients 75 years and older, was unnoticed by 74% of survey respondents (n = 119) with pharmacists more likely to be aware of the context than prescribers. The impact of the GPC on clinicians’ workflow differed by setting, with academic respondents reporting no change or decreased time to write or verify orders, and community respondents reporting no change or increased time to write or verify orders. The GPC has smoothly integrated into usual prescribing workflows for both prescribers and pharmacists and both overall reported positive responses to the implementation.
KW - delivery of healthcare
KW - electronic health records
KW - electronic prescribing
KW - patient safety
KW - surveys and questionnaires
UR - http://www.scopus.com/inward/record.url?scp=85125802352&partnerID=8YFLogxK
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U2 - 10.1177/07334648221079103
DO - 10.1177/07334648221079103
M3 - Article
C2 - 35240037
AN - SCOPUS:85125802352
SN - 0733-4648
VL - 41
SP - 1625
EP - 1629
JO - Journal of Applied Gerontology
JF - Journal of Applied Gerontology
IS - 6
ER -