Facilitation or Hindrance: Physicians’ Perception on Best Practice Alerts (BPA) Usage in an Electronic Health Record System
Abstract
A qualitative study was conducted to examine physicians' perception on best practice alerts (BPAs) usage under the theoretical framework of technology acceptance model (TAM). In particular, 20 face-to-face in-depth interviews were conducted from September 2016 to February 2017 to collect data. Four themes emerged from the current set of data: support, de-escalation, management, and enhancement are physicians' perceived motivations of using BPAs; interactivity, timing, and interface design are key factors that influence physicians' perceived experiences of using BPAs; alert fatigue and inaccurate alters are major challenges and issues faced by physicians when using BPAs; and, control and team approach are physicians' perceptions on the future improvement of BPAs. This study not only offers a detailed description of physicians' perception of BPAs, revealing the rich meanings associated with this phenomenon, but also enriches our understanding of the TAM in the context of BPAs by uncovering the key dimensions of abstract constructs in the model.
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<p>The role of medical data in efficient patient care delivery: a review</p>
Adane, K., Gizachew, M., & Kendie, S. (2019) · Risk Management and Healthcare Policy · doi:10.2147/rmhp.s179259 · Cited by 120 · see citing works
Sood, N., Stetter, C., Kunselman, A., & Jasani, S. (2024) · PLOS Digital Health · doi:10.1371/journal.pdig.0000428 · Cited by 6 · see citing works
- Authors
- Chen, H., Butler, E., Guo, Y., George, T., Modave, F., Gurka, M., & Bian, J.
- Affiliations
- University of Florida (US)
- Department of Health Outcomes and Biomedical Informatics, College of Medicine, University of Florida
- Corresponding author
- Bian, Jiang
- Venue
- Health Communication
- Publisher
- Informa UK Limited
- Published
- 2018-02-27
- Volume
- 34
- Issue
- 9
- Pages
- 942-948
- ISSN
- 1041-0236 (ISSN-L)
- 1532-7027
- OpenAlex
- W2791235541
- Cited by
- 24
- References
- 3
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1
- FWCI
- 1.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Communication (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Technology and Human Factors in Education and Health
- Social Sciences › Decision Sciences › Information Systems and Management › Technology Adoption and User Behaviour
- Keywords
- best practice alerts, electronic health records, physician perceptions, technology acceptance model, alarm fatigue, clinical decision support, interface design, de-escalation, physician control, team approach
- MeSH terms
- Attitude of Health Personnel, Attitude to Computers, Humans, Interviews as Topic, Motivation, Physicians, Reminder Systems, Practice Guidelines as Topic, Electronic Health Records
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