Prescribing Safety in Ambulatory Care: Physician Perspectives

摘要: Abstract : Objective: This study was undertaken to describe physicians' views regarding ambulatory medication prescribing safety. Methods: We conducted 17 semistructured interviews among a sample of practicing physicians from 3 integrated health delivery systems. asked about current safety practices, perceptions Using content analysis approach, three investigators independently coded responses into thematic categories. For 90 percent responses, agreed on the coding. Discrepant response codes were resolved through consultation investigators. Results: Current practices most frequently noted by included using reference material (e.g., guidelines hand-held devices, online drug information, electronic formulary booked), verbal communication with pharmacists, and attention educational materials (posters, alerts, faxes). Some subjects reported point-of-care information technology, i.e., personal digital assistant-based as very helpful. Other used pharmacy support The commonly cited concerns adverse events associated drug-drug interactions, allergies side effects, for elderly, chronic use. Commonly suggested new approaches ranged low-cost initiatives such education improve patients' knowledge medications, more elaborate medical record-based alert systems that automatically flag potential errors. Conclusions: Despite number strategies currently in use, perceive significant problems Recommended solutions range better patient employing but their effectiveness may vary depending underlying cause issue.