| Item | n | % | Qualitative comments | Source of the xitem |
---|---|---|---|---|---|
 | Compared to paper-based handwritten patient records, EHRs with embedded CDSSs can: | ||||
Patient safety | 1. Reduce medication errors | Â | Â | Â | B |
Strongly agree | 53 | 69.7 | EHRs might be associated with other types of errors like omissions and entry of inaccurate information | Â | |
Agree | 18 | 23.7 | |||
Neutral | 3 | 3.9 | |||
Disagree | 1 | 1.3 | |||
Strongly disagree | 1 | 1.3 | |||
2. Reduce adverse reactions | Â | Â | Â | B | |
Strongly agree | 26 | 34.2 | Evidence for reducing adverse medication reactions is mixed | Â | |
Agree | 33 | 43.4 | Â | ||
Neutral | 12 | 15.8 | Â | ||
Disagree | 3 | 3.9 | Â | ||
Strongly disagree | 2 | 2.6 | Â | ||
3. Improve communication between healthcare providers | Â | Â | Â | B | |
Strongly agree | 27 | 35.5 | In case of inaccurate information, more interactions are needed for corrective actions | Â | |
Agree | 41 | 53.9 | Â | ||
Neutral | 6 | 7.9 | Â | ||
Disagree | 1 | 1.3 | Â | ||
Strongly disagree | 1 | 1.3 | Â | ||
4. Improve overall patient care experience | Â | Â | Â | B | |
Strongly agree | 36 | 47.4 | Poor design of systems, drop-down menus, screen design, and automatic filling functions might increase likelihood of errors and may negatively impact the overall patient care experience | Â | |
Agree | 25 | 32.9 | Â | ||
Neutral | 12 | 15.8 | Â | ||
Disagree | 2 | 2.6 | Â | ||
Strongly disagree | 1 | 1.3 | Â | ||
Cost | 5. Improve prescriber’s ability to prescribe more cost-effective medications |  |  |  | I |
Strongly agree | 18 | 23.7 | This might be dependent on the list of product options available in the system | Â | |
Agree | 34 | 44.7 | Â | ||
Neutral | 18 | 23.7 | Â | ||
Disagree | 4 | 5.3 | Â | ||
Strongly disagree | 2 | 2.6 | Â | ||
6. Increase prescriber’s likelihood to discontinue unnecessary and/or ineffective medications |  |  |  | B | |
Strongly agree | 14 | 18.4 | Evidence for reducing ineffective medications is mixed | Â | |
Agree | 42 | 55.3 | Â | ||
Neutral | 15 | 19.7 | Â | ||
Disagree | 2 | 2.6 | Â | ||
Strongly disagree | 3 | 3.9 | Â | ||
7. Decrease costs associated with adverse medication reactions and medication errors | Â | Â | Â | I | |
Strongly agree | 51 | 67.1 | EHRs are associated with other types of errors | Â | |
Agree | 16 | 21.1 | Â | ||
Neutral | 6 | 7.9 | Â | ||
Disagree | 2 | 2.6 | Â | ||
Strongly disagree | 1 | 1.3 | Â | ||
Record keeping | 8. Improve storage of patient information and prescription records | Â | Â | Â | L |
Strongly agree | 53 | 69.7 | More efforts are needed to keep and maintain copies of these electronic copies | Â | |
Agree | 21 | 27.6 | Â | ||
Neutral | 2 | 2.6 | Â | ||
Disagree | 0 | 0 | Â | ||
Strongly disagree | 0 | 0 | Â | ||
9. Improve prescriber’s ability to trace patient’s prescribing information |  |  |  | B | |
Strongly agree | 50 | 65.8 | More efforts are needed to improve search and retrieval activities | Â | |
Agree | 23 | 30.3 | Â | ||
Neutral | 3 | 3.9 | Â | ||
Disagree | 0 | 0 | Â | ||
Strongly disagree | 0 | 0 | Â | ||
10. Improve prescriber’s ability to monitor medications and evaluate clinical outcomes |  |  |  | L | |
Strongly agree | 31 | 40.8 | More efforts are needed to improve reminders that should pop-up only when necessary to avoid prescriber’s desensitization |  | |
Agree | 26 | 34.2 | Â | ||
Neutral | 15 | 19.7 | Â | ||
Disagree | 2 | 2.6 | Â | ||
Strongly disagree | 2 | 2.6 | Â | ||
Workflow | 11. Reduce wait times needed to call prescribers to clarify illegible or ambiguous medication orders | Â | Â | Â | B |
Strongly agree | 38 | 50 | In case of technology failures and system malfunctions, more wait times are needed | Â | |
Agree | 27 | 35.5 | Â | ||
Neutral | 9 | 11.8 | Â | ||
Disagree | 1 | 1.3 | Â | ||
Strongly disagree | 1 | 1.3 | Â | ||
12. Improve workflow of prescribers and other healthcare team by enabling copying and editing of prescribing information | Â | Â | Â | L | |
Strongly agree | 14 | 18.4 | Workflow challenges, more personnel, training, and maintenance efforts are needed | Â | |
Agree | 22 | 28.9 | Â | ||
Neutral | 17 | 22.4 | Â | ||
Disagree | 12 | 15.8 | Â | ||
Strongly disagree | 11 | 14.5 | Â |