Table 6 Physicians’ and nurses’ ideas of beneficial characteristics of future CDSS
Text fragment | Code |
|---|---|
Physicians | |
‘Could this (CDSS) screen for multipharmacy patients and recommend a comprehensive medication review for some of them?’ | screening patients for comprehensive medical review |
‘I would like to see the most important things on the top of the medication review | highlighting information |
Some temporary medications on the medication list, for example a short course of iron supplements, may have remained on the list beyond the intended completion date…to receive some kind of notification about this | reminders for unnecessary medication |
‘I would like to use this tool for getting new ideas for my patient’s medication. Just like talking with a colleague’ | getting new ideas |
‘It could take into account the reduced dosing and GFR at the same time…’ | taking notice of the dosing of medicine |
Nurses | |
‘Helpful for me would be to see blood pressure, weight and blood sugar follow-up results at one glance’ | summary of meaningful measurements |
' Many patients have taken antidepressants and sedatives for decades…nobody pays attention to it…I would like to see this tool reminding me to follow-up and consider discontinuation…’ (nurse talks about medication of elderly home care patients) | reminders to check-up indications for long-term medicines |
‘We could measure pain on VAS-scale and document it in the EHR’…(in a structured form) | utilizing pain measurements for the CDSS |
‘I have to remind myself to measure orthostatic blood pressure from an elderly person, who is at the risk of falling…’ | Reminders to detect persons at the risk of falling |
It would be nice to have direct laboratory referrals integrated into reminders…you could click through the reminder to a lab form and set the dates for referrals…it would ease my work’ | Laboratory referrals integrated into reminders |