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Logo of qualsafetyQuality and Safety in Health CareCurrent TOCInstructions for authors
Qual Saf Health Care. Jun 2005; 14(3): 164–168.
PMCID: PMC1744017

Patient safety features of clinical computer systems: questionnaire survey of GP views

Abstract

Aim: To investigate general practitioners' (GPs') stated knowledge, use and training needs related to the patient safety features of computerised clinical systems in England.

Design: Questionnaire survey.

Subjects and setting: GPs from six English primary care trusts.

Outcome measures: GPs' views on the importance of specified patient safety features on their computer system; their knowledge of the presence of specified safety features; previous training and perceived future training needs.

Results: Three hundred and eighty one GPs (64.0%) completed and returned the questionnaire. Although patient safety features were considered to be an important part of their computer system by the vast majority of GPs, many were unsure as to whether the system they were currently using possessed some of the specified features. Some respondents erroneously believed that their computers would warn them about potential contraindications or if an abnormal dose frequency had been prescribed. Only a minority had received formal training on the use of their system's patient safety features.

Conclusions: Patient safety was an issue high on the agenda of this GP sample. The importance of raising GPs' awareness of both the potential use and deficiencies of the patient safety features on their systems and ensuring that appropriate training is available should not be underestimated.

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Selected References

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  • Bates David W, Gawande Atul A. Improving safety with information technology. N Engl J Med. 2003 Jun 19;348(25):2526–2534. [PubMed]
  • Bates David W, Ebell Mark, Gotlieb Edward, Zapp John, Mullins HC. A proposal for electronic medical records in U.S. primary care. J Am Med Inform Assoc. 2003 Jan-Feb;10(1):1–10. [PMC free article] [PubMed]
  • Wilson Tim, Sheikh Aziz. Enhancing public safety in primary care. BMJ. 2002 Mar 9;324(7337):584–587. [PMC free article] [PubMed]
  • Pirmohamed Munir, James Sally, Meakin Shaun, Green Chris, Scott Andrew K, Walley Thomas J, Farrar Keith, Park B Kevin, Breckenridge Alasdair M. Adverse drug reactions as cause of admission to hospital: prospective analysis of 18 820 patients. BMJ. 2004 Jul 3;329(7456):15–19. [PMC free article] [PubMed]
  • Avery Anthony J, Sheikh Aziz, Hurwitz Brian, Smeaton Lesley, Chen Yen-Fu, Howard Rachel, Cantrill Judy, Royal Simon. Safer medicines management in primary care. Br J Gen Pract. 2002 Oct;52 (Suppl):S17–S22. [PMC free article] [PubMed]
  • Franke L, Avery AJ, Groom L, Horsfield P. Is there a role for computerized decision support for drug dosing in general practice? A questionnaire survey. J Clin Pharm Ther. 2000 Oct;25(5):373–377. [PubMed]
  • Magnus D, Rodgers S, Avery AJ. GPs' views on computerized drug interaction alerts: questionnaire survey. J Clin Pharm Ther. 2002 Oct;27(5):377–382. [PubMed]
  • Mitchell E, Sullivan F. A descriptive feast but an evaluative famine: systematic review of published articles on primary care computing during 1980-97. BMJ. 2001 Feb 3;322(7281):279–282. [PMC free article] [PubMed]
  • Delaney BC, Fitzmaurice DA, Riaz A, Hobbs FD. Can computerised decision support systems deliver improved quality in primary care?. Interview by Abi Berger. BMJ. 1999 Nov 13;319(7220):1281–1281. [PMC free article] [PubMed]
  • Avery Anthony J, Savelyich Boki S P, Teasdale Sheila. Improving the safety features of general practice computer systems. Inform Prim Care. 2003;11(4):203–206. [PubMed]
  • Fernando Bernard, Savelyich Boki S P, Avery Anthony J, Sheikh Aziz, Bainbridge Mike, Horsfield Pete, Teasdale Sheila. Prescribing safety features of general practice computer systems: evaluation using simulated test cases. BMJ. 2004 May 15;328(7449):1171–1172. [PMC free article] [PubMed]
  • Short Duncan, Frischer Martin, Bashford James. Barriers to the adoption of computerised decision support systems in general practice consultations: a qualitative study of GPs' perspectives. Int J Med Inform. 2004 May;73(4):357–362. [PubMed]

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