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1. Goals and planning
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1.3 Goal setting (outcome)
| ✓ Ensure prescriber or clinical involvement in HIT configuration and design; in clinical parameter setting for dosing support and other clinical decision support; in drug library design |
1 (100)
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1.7 Review outcome goal(s)
| ✓ Review and modify HIT in response to prescriber feedback |
1 (100)
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2. Feedback and monitoring
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2.1 Monitoring of behaviour by others without feedback
| ✓ Observe and record prescriber workflow and behaviour with their knowledge but without providing feedback, in order to adapt system and in turn modify prescriber behaviour (e.g. drop-down menus that are contributing to selection errors may be modified after prescriber observation) |
1 (100)
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2.5 Monitoring of outcome(s) of behaviour without feedback
| ✓ Monitor electronic prescriptions or orders generated by prescribers without providing feedback in order to prevent or detect errors (not for the purpose of study data collection) |
1 (100)
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3. Social support
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3.2 Social support (practical)
| ✓ Ensure clinical colleagues (e.g. ‘super-users’) or IT phone support available to give practical system support to prescribers and to answer questions |
1 (100)
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9. Comparison of outcomes
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9.1 Credible source
| ✓ Deliver prescriber training, or information on the consequences of medication errors by a credible source such as an informatics pharmacist or other clinical healthcare professional |
1 (100)
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4. Shaping knowledge
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4.1 Instruction on how to perform a behaviour
| ✓ Provide training sessions on how to use the system and prescribe a drug correctly; may be classroom or workbook-based |
0.91 (91)
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5. Natural consequences
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5.1 Information on health consequences
| ✓ Alert the prescriber about the consequences of placing a specific medication order (e.g. patient allergy, drug-drug interaction, therapeutic duplication, contraindication) through system alerts or warnings; verbal or written information on medication errors may also be provided |
0.86 (86)
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7. Associations
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7.1 Prompts/cues
| ✓ Provide visual on-screen alerts or pop-ups to prompt prescribers to change or adjust potentially erroneous or unsafe medication orders |
0.86 (86)
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8. Repetition and substitution
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8.1 Behavioural practice/rehearsal
| ✓ Provide classroom or individual training sessions for prescribers to work through order examples, workbooks, online modules, or system demos |
0.80 (80)
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