In Pursuit of the Quadruple Aim: A Geriatric Prescribing Context’s Impact on Clinician Workflows and Alert Fatigue

Kathleen Drago, Bryanna De Lima, Jackie Sharpe, Elizabeth Eckstrom

Research output: Contribution to journalArticlepeer-review

Abstract

The impact of a novel Geriatric Prescribing Context (GPC) on hospital clinicians’ prescribing workflows is still unknown. A cross-sectional survey was distributed to 346 inpatient pharmacists, physicians, and advance practice providers employed at three pilot site hospitals affected by the GPC to assess awareness and impact to usual workflow. The GPC, a set of medication default doses and frequencies for patients 75 years and older, was unnoticed by 74% of survey respondents (n = 119) with pharmacists more likely to be aware of the context than prescribers. The impact of the GPC on clinicians’ workflow differed by setting, with academic respondents reporting no change or decreased time to write or verify orders, and community respondents reporting no change or increased time to write or verify orders. The GPC has smoothly integrated into usual prescribing workflows for both prescribers and pharmacists and both overall reported positive responses to the implementation.

Original languageEnglish (US)
Pages (from-to)1625-1629
Number of pages5
JournalJournal of Applied Gerontology
Volume41
Issue number6
DOIs
StatePublished - Jun 2022

Keywords

  • delivery of healthcare
  • electronic health records
  • electronic prescribing
  • patient safety
  • surveys and questionnaires

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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