Finding | Quotations |
---|---|
Users disagreed with recommended clinical actions | “The only thing I might change is I might start with a lower dose, and just up-titrate the losartan from there” “Need to increase that lisinopril. I've already discussed that. I frankly would go up by more than just 10.” |
Users had concerns about the alert placement within their workflow and ability to navigate to other parts of the chart | “So, the problem I would have with this right now is that I haven’t talked to the patient, and it would be inappropriate for me to start a new medication without discussing with the patient” |
Users requested additional clinical information | “I’d love to know what his potassium is before I start the lisinopril. If I had access to that, that would be great.” “It's also the most recent eGFR. It would be interesting to have the date here.” |
Users had difficulty understanding the behavior of the Acknowledge Reasons and how they behaved in relation to the Order buttons | “Then I have to acknowledge a reason if I don’t accept it? I’m just curious how this works again.” |
Users did not have consensus on informing patients about CKD and BP in their after-visit summary | “I think it would just scare patients like, “I don’t know. You didn’t tell me I had kidney disease today.” |
Users had some difficulty understanding the Order buttons (3) | “I did see [the order options], but they were highlighted as do not order, so I had assumed [they were not recommended]” |
Users noted that the medication order screen does not allow modification to an existing order | “It would be nice if this could program a change [of dose] instead of a new prescription so that I didn't have to discontinue.” |