A Study on User Satisfaction regarding the Clinical Decision Support System (CDSS) for Medication
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Objectives: Many medication errors can occur when ordering and dispensing medicine in hospitals. The clinical decision support system (CDSS) is widely used in an effort to reduce medication errors. This study focused on the evaluation of user satisfaction with the CDSS for medication at a university hospital. Specifically, this study aimed to identify the factors influencing user satisfaction and to examine user requirements in order to further improve user satisfaction and drug safety. Methods: The study was based on survey data from 218 users (103 doctors, 103 nurses, and 15 pharmacists) at a university hospital that uses the CDSS. In order to identify the factors influencing user satisfaction with the CDSS, a multiple linear regression was performed. In order to compare the satisfaction level among the professional groups, an analysis of variance (ANOVA) was performed. Results: The reliability of information, decision supporting capability, and departmental support were significant factors in influencing user satisfaction. In addition, nurses were the most satisfied group, followed by pharmacists and doctors according to the ANOVA. Areas for further improvement in enhancing drug safety were real time information searching and decision supporting capabilities to prevent adverse drug events (ADE) in a timely manner. Conclusions:We found that the CDSS users were generally satisfied with the system and that it complements the nationwide drug utilization review (DUR) system in reducing ADE. Further CDSS evaluation in other hospitals is needed to improve user satisfaction and drug safety.
Abstract
Objectives: Many medication errors can occur when ordering and dispensing medicine in hospitals. The clinical decision support system (CDSS) is widely used in an effort to reduce medication errors. This study focused on the evaluation of user satisfaction with the CDSS for medication at a university hospital. Specifically, this study aimed to identify the factors influencing user satisfaction and to examine user requirements in order to further improve user satisfaction and drug safety. Methods: The study was based on survey data from 218 users (103 doctors, 103 nurses, and 15 pharmacists) at a university hospital that uses the CDSS. In order to identify the factors influencing user satisfaction with the CDSS, a multiple linear regression was performed. In order to compare the satisfaction level among the professional groups, an analysis of variance (ANOVA) was performed. Results: The reliability of information, decision supporting capability, and departmental support were significant factors in influencing user satisfaction. In addition, nurses were the most satisfied group, followed by pharmacists and doctors according to the ANOVA. Areas for further improvement in enhancing drug safety were real time information searching and decision supporting capabilities to prevent adverse drug events (ADE) in a timely manner. Conclusions:We found that the CDSS users were generally satisfied with the system and that it complements the nationwide drug utilization review (DUR) system in reducing ADE. Further CDSS evaluation in other hospitals is needed to improve user satisfaction and drug safety.
참고문헌 (13)
- Vegoda PR., "Introduction to hospital information systems", Int J Clin Monit Comput, 4, pp.105~109 (1987)
- Kaushal R., "Effects of computerized physician order entry and clinical decision support systems on medication safety : a systematic review", Arch Intern Med, 163, pp.1409~1416 (2003)
- Chaudhry B., "Systematic review : impact of health information technology on quality., efficiency., and costs of medical care", Ann Intern Med, 144, pp.742~752 (2006)
- Wolfstadt JI., "The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events : a systematic review", J Gen Intern Med, 23, pp.451~458 (2008)
- Shamliyan TA., "Just what the doctor ordered: review of the evidence of the impact of computerized physician order entry system on medication errors", Health Serv Res, 43(1 Pt 1), pp.32~53 (2008)
- Lee YT., "Evaluation of the effects of the CDSS for drug prescription for hospitals", J Korean Soc Inf Health Stat, 32, pp.89~98 (2007)
- Baroudi JJ., "A short-form measure of user information satisfaction : a psychometric evaluation and notes on use", J Manag Inf Syst, 4, pp.44~59 (1988)
- 김승운, "지식관리시스템의 성공요인에 관한 탐색적 연구: 지각된 피드백을 중심으로", Entrue Journal of Information Technology, 10(2), pp.149~162 (2011), 엘지씨엔에스
- DeLone WH., "Information systems success : the quest for the dependent variable", Inf Syst Res, 3, pp.60~95 (1992)
- DeLone WH., "The DeLone and McLean model of information systems success : a ten-year update", J Manag Inf Syst, 19, pp.9~30 (2003)
- Van Der Meijden MJ., "Determinants of success of inpatient clinical information systems : a literature review", J Am Med Inform Assoc, 10, pp.235~243 (2003)
- 박진우, "Evaluation of CDSS for Drug Prescriptions Based on Success Measures", Healthcare Informatics Research, 15(3), pp.293~301 (2009), 대한의료정보학회
- Kulkarni U., "A knowledge management success model : theoretical development and empirical validation", J Manag Inf Syst, 23, pp.309~347 (2007)