title: A generic system for critiquing physicians' prescriptions: usability, satisfaction and lessons learnt.
abstract: Clinical decision support systems have been developed to help physicians to take clinical guidelines into account during consultations. The ASTI critiquing module is one such systems; it provides the physician with automatic criticisms when a drug prescription does not follow the guidelines. It was initially developed for hypertension and type 2 diabetes, but is designed to be generic enough for application to all chronic diseases. We present here the results of usability and satisfaction evaluations for the ASTI critiquing module, obtained with GPs for a newly implemented guideline concerning dyslipaemia, and we discuss the lessons learnt and the difficulties encountered when building a generic DSS for critiquing physicians' prescriptions.
authors: Laboratoire d'Informatique Médicale et Bioinformatique, UFR SMBH, Université Paris 13, Bobigny, France.
authors: Jean-Baptiste
authors: JB
authors: Lamy
authors: Vahid
authors: V
authors: Ebrahiminia
authors: Brigitte
authors: B
authors: Seroussi
authors: Jacques
authors: J
authors: Bouaud
authors: Christia
authors: C
authors: Simon
authors: Madeleine
authors: M
authors: Favre
authors: Hector
authors: H
authors: Falcoff
authors: Alain
authors: A
authors: Venot
mesh_terms: D000465:Algorithms; D002908:Chronic Disease; D020000:Decision Support Systems, Clinical; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D004360:Drug Therapy, Computer-Assisted; D017723:Drug Utilization Review; D055695:Electronic Prescribing; D006801:Humans; D006973:Hypertension / Q000188:drug therapy; D007588:Job Satisfaction; D010818:Practice Patterns, Physicians'; D014584:User-Computer Interface