Physicians' reported needs of drug information at point of care in Sweden

British Journal of Clinical Pharmacology

Volumn 73, Issue 1, 2012, Pages 115-125

  Rahmner, Pia Bastholm ^a   Eiermann, Birgit ^b   Korkmaz, Seher ^a,f   Gustafsson, Lars L ^b   Gruvén, Magnus ^b   Maxwell, Simon ^c   Eichle, Hans Georg ^d   Vég, Anikó ^a,e  

^a STOCKHOLM COUNTY COUNCIL   (Sweden)

^b KAROLINSKA UNIVERSITY HOSPITAL   (Sweden)

^c UNIVERSITY OF EDINBURGH   (United Kingdom)

^d EUROPEAN MEDICINES AGENCY   (United Kingdom)

^e UPPSALA UNIVERSITY   (Sweden)

^f KAROLINSKA INSTITUTE   (Sweden)

Author keywords

Decision support systems; Drug information; Drug labelling; Focus group discussions; Health services needs and demand; Medical informatics

Indexed keywords

ADVERSE OUTCOME; ARTICLE; DRUG HYPERSENSITIVITY; DRUG INFORMATION; ELECTRONIC MEDICAL RECORD; GLOMERULUS FILTRATION RATE; HUMAN; MOLECULAR INTERACTION; PATIENT CARE; PATIENT INFORMATION; PHYSICIAN; PRESCRIPTION; PRIORITY JOURNAL; QUESTIONNAIRE; SWEDEN;

EID: 83155173138     PISSN: 03065251     EISSN: 13652125     Source Type: Journal    
DOI: 10.1111/j.1365-2125.2011.04058.x     Document Type: Article

References (34)

1. Gustafsson LL, Wettermark B, Godman B, Andersén-Karlsson E, Bergman U, Hasselström J, Hensjö L-O, Hjemdahl P, Jägre I, Julander M, Ringertz B, Schmidt D, Sjöberg S, Sjöqvist F, Stiller C-O, Törnqvist E, Tryselius R, Vitols S, von Bahr C, for the Regional Drug Expert C. The 'wise list'- a comprehensive concept to select, communicate and achieve adherence to recommendations of essential drugs in ambulatory care in Stockholm. Basic Clin Pharmacol Toxicol 2011; 108: 224-33.
2. Seidling H, Al Barmawi A, Kaltschmidt J, Bertsche T, Pruszydlo M, Haefeli W. Detection and prevention of prescriptions with excessive doses in electronic prescribing systems. Eur J Clin Pharmacol 2007; 63: 1185-92.
3. Böttiger Y, Laine K, Andersson ML, Korhonen T, Molin B, Ovesjö ML, Tirkkonen T, Rane A, Gustafsson LL, Eiermann B. SFINX -a drug-drug-interaction database designed for clinical decision support systems. Eur J Clin Pharmacol 2009; 65: 627-33.
4. Kuperman GJ, Bobb A, Payne TH, Avery AJ, Gandhi TK, Burns G, Classen DC, Bates DW. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc 2007; 14: 29-40.
5. Eiermann B, Bastholm Rahmner P, Korkmaz S, Lilja B, Veg A, Wettermark B, Gustafsson L-L. Knowledge databases for clinical decision support in drug prescribing- development, quality assurance, management, integration, implementation and evaluation of clinical value. 2010. Chapter in Clinical Decision Support. In. published online Vienna 2010.
6. Rahmner Bastholm P, Gustafsson LL, Holmstrom I, Rosenqvist U, Tomson G. Whose job is it anyway? Swedish general practitioners' perception of their responsibility for the patient's drug list. Ann Fam Med 2010; 8: 40-6.
7. Seidling HM, Schmitt SP, Bruckner T, Kaltschmidt J, Pruszydlo MG, Senger C, Bertsche T, Walter-Sack I, Haefeli WE. Patient-specific electronic decision support reduces prescription of excessive doses. Qual Saf Health Care 2010 (in press).
8. Maxwell S. Rational prescribing: the principles of drug selection. Review. Clin Med 2009; 9: 481-5.
9. Teich JM, Osheroff JA, Pifer EA, Sittig DF, Jenders RA. CDS expert review panel. Clinical decision support in electronic prescribing: recommendations and an action plan. J Am Med Inform Assoc 2005; 12: 365-76.
10. Arguello B, Fernandez-Llimos F. Clinical pharmacology information in summaries of product characteristics and package inserts. Clin PharmacoL Ther 2007; 82: 566-71.
11. EMEA Mission Statement. Guideline on core SmPC and package leaflet for radiopharmaceuticals. Available at (last accessed August 2011).
12. Wall A, Bateman D, Waring W. Variability in the quality of overdose advice in Summary of Product Characteristics (SPC) documents: gut decontamination recommendations for CNS drugs. Br J Clin Pharmacol 2009; 67: 83-7.
13. Revere D, Turner AM, Madhavan A, Rambo N, Bugni PF, Kimball A, Fuller SS. Understanding the information needs of public health practitioners: a literature review to inform design of an interactive digital knowledge management system. J Biomed Inform 2007; 40: 410-21.
14. Bastholm Rahmner P, Andersén-Karlsson E, Arnhjort T, Eliasson M, Gustafsson L-L, Jacobsson L, Ovesjö M-L, Rosenqvist U, Sjöviker S, Tomson G, Holmström I. Physicians' perceptions of possibilities and obstacles prior to implementing a computerised drug prescribing support system. Int J Health Care Qual Assur 2004; 17: 173-9.
15. Kitzinger J. Qualitative research: introducing focus groups. BMJ 1995; 311: 299-302.
16. Dahlgren L, Emmelin M, Winkvist A. Qualitative Methodology for International Public Health: Umeå International School of Public Health. Umeå: Umeå University, 2004.
17. Eliasson M, Bastholm P, Forsberg P, Henriksson K, Jacobson L, Nilsson A, Gustafsson LL. Janus computerised prescribing system provides pharmacological knowledge at point of care - design, development and proof of concept. Eur J Clin Pharmacol 2006; 62: 251-8.
18. SFS. Lag (2003:460) om etikprövning av forskning som avser människor (Svensk författningssamling). Available at (last accessed February 2008). Cited February 2008 in Swedish. In; 2003:460.
19. Patton MQ. Qualitative Evaluation and Research Methods, 2nd edn. Newbury Park, CA: Sage Publications, 1990.
20. Kristianson K, Ljunggren H, Gustafsson LL. Data extraction from a semi structured electronic medical record system for outpatients: model for quality control of drug prescribing in diabetes care. Health Informatics J 2009; 15: 305-19.
21. Bergk V, Haefeli W, Gasse C, Brenner H, Martin-Facklam M. Information deficits in the summary of product characteristics preclude an optimal management of drug interactions: a comparison with evidence from the literature. Eur J Clin Pharmacol 2005; 61: 327-35.
22. Wears RL, Berg M. Computer technology and clinical work - Still waiting for Godot. JAMA 2005; 293: 1261-63.
23. Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, Strom BL. Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors. JAMA 2005; 293: 1197-203.
24. Westelius A, Edenius M. Gaps between intended and actual use - turning problems into opportunities in health informatics. Int J Public Inf Syst 2006; Available at
25. Montgomery K. How Doctors Think. Clinical Judgement and the Practice of Medicine. Oxford: Oxford University Press, 2006.
26. Groopman J. How Doctors Think. New York: Houghton Mifflin Company, 2007.
27. Howard R, Avery A, Bissell P. Causes of preventable drug-related hospital admissions: a qualitative study. Qual Saf Health Care 2008; 17: 109-16.
28. Chiang V. Commentary on electronic documentation in medication reconciliation - a challenge for health care professionals. Appl Nurs Res 2008; 21: 240-1.
29. Maxwell S. Evidence based prescribing is the goal, but prescribers still need education, experience, and common sense. BMJ 2005; 331: 247-8.
30. Sjöqvist F, Bergman U, Dahl M, Gustafsson L, Hensjö L. Drug and therapeutics committees: a Swedish experience. WHO Drug Inf 2002; 16: 207-13.
31. Teich JM, Merchia PR, Schmiz JL, Kuperman GJ, Spurr CD, Bates DW. Effects of computerized physician order entry on prescribing practices. Arc Int Med 2000; 160: 2741-7.
32. Bobb A, Gleason K, Husch M, Feinglass J, Yarnold PR, Noskin GA. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arc Int Med 2004; 164: 785-92.
33. Sjöborg B, Bäckström T, Arvidsson L, Andersen-Karlsson E, Blomberg L, Eiermann B, Eliasson M, Henriksson K, Jacobsson L, Jacobsson U, Julander M, Kaiser P, Landberg C, Larsson J, Molin B, Gustafsson LL. Design and implementation of a point-of-care computerized system for drug therapy in Stockholm metropolitan health region - bridging the gap between knowledge and practice. Int J Med Inform 2007; 76: 497-506.
34. Robertson J, Moxey AJ, Newby DA, Gillies MB, Williamson M, Pearson S-A. Electronic information and clinical decision support for prescribing: state of play in Australian general practice. Fam Pract 2011; 28: 93-101.