Pediatricians’ Understanding and Experiences of an Electronic Clinical-Decision-Support-System

Per Nydert, Anikó Vég, Pia Bastholm-Rahmner, Synnöve Lindemalm


Objectives: Subsequent dosing errors after implementing an Electronic Medical Record (EMR) at a pediatric hospital in Sweden led to the development, in close collaboration with the clinical profession, of a Clinical Decision Support System (CDSS) with Dose Range Check and Weight Based Dose Calculation integrated directly in the EMR. The aim of this study was to explore the understanding and experiences of the CDSS among Swedish pediatricians after one year of practice.

Methods: Semi-structured interviews with physicians at different levels of the health care system were performed with seventeen pediatricians working at three different pediatrics wards in Stockholm County Council. The interviews were analysed with a thematic analysis without pre-determined categories.

Results: Six categories and fourteen subcategories emerged from the analysis. The categories included the use, the benefit, the confidence, the situations of disregards, the misgivings/risks and finally the development potential of the implemented CDSS with Weight Based Dose Calculation and Dose Range Check.  

Conclusions:  A need for CDSS in the prescribing for children is evident but also the need for further development based on the practical knowledge of the clinical profession.

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Online Journal of Public Health Informatics * ISSN 1947-2579 *