Medication safety and knowledge-based functions: a stepwise approach against information overload.

摘要: Aims The aim was to improve medication safety in an emergency department (ED) by enhancing the integration and presentation of information for drug therapy. Methods Based on evaluation therapy issues ED a review computer-assisted intervention technologies we redesigned electronic case sheet implemented interventions into routine work flow. We devised four step system alerts, facilitated access different levels information. System use analyzed over period 6 months. In addition, physicians answered survey based technology acceptance model TAM2. Results The new application informal manner avoid flow disruption. Log files demonstrated that I, ‘valid indication’ utilized 3% recorded drugs II ‘tooltip well-known risks’ 48% drugs. questionnaire, were rated better than previous paper measures (checklists, posters) with regard usefulness, support quality. Conclusion A stepwise assisting received positive user acceptance. Some steps have been seldom used, others quite often. think able over-alerting intrusion critical environment.