Electronic risk assessment for venous thromboembolism: investigating physicians' rationale for bypassing clinical decision support recommendations.

ABSTRACT:

Objective

The underutilisation of venous thromboembolism (VTE) prophylaxis is still a problem in the UK despite the emergence of national guidelines and incentives to increase the number of patients undergoing VTE risk assessments. Our objective was to examine the reasons doctors gave for not prescribing enoxaparin when recommended by an electronic VTE risk assessment alert.

Design

We used a qualitative research design to conduct a thematic analysis of free text entered into an electronic prescribing system.

Setting

The study took place in a large University teaching hospital, which has a locally developed electronic prescribing system known as PICS (Prescribing, Information and Communication System).

Participants

We extracted prescription data from all inpatie

SUBMITTER: Nwulu U 

PROVIDER: S-EPMC4179407 | biostudies-literature | 2014 Sep

REPOSITORIES: biostudies-literature