Archive (2016–2006)

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

Journal: Methods of Information in Medicine
Subtitle: A journal stressing, for more than 50 years, the methodology and scientific fundamentals of organizing, representing and analyzing data, information and knowledge in biomedicine and health care
ISSN: 0026-1270

Focus Theme
Webscience in Medicine and Healthcare
Guest Editors: K. Denecke, E. Brooks

Issue: 2013 (Vol. 52): Issue 2 2013
Pages: 99-108

Attitude of Physicians Towards Automatic Alerting in Computerized Physician Order Entry Systems

A Comparative International Survey

Original Article

Editors Choice

Online Supplementary Material

M. Jung (1), A. Hoerbst (2, 1), W. O. Hackl (1), F. Kirrane (3), D. Borbolla (4), M. W. Jaspers (5), M. Oertle (6), V. Koutkias (7), L. Ferret (8, 9), P. Massari (10), K. Lawton (11), D. Riedmann (1), S. Darmoni (10), N. Maglaveras (7), C. Lovis (12), E. Ammenwerth (1)

(1) Institute of Health Informatics, Department of Biomedical Informatics and Mechatronics, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria; (2) Research Division for eHealth and Telemedicine, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria; (3) Department of Medical Physics and Bioengineering, Galway University Hospital, Galway, Ireland; (4) Health Informatics Department, Hospital Italiano de Buenos Aires, Buenos Aires City, Argentina; (5) Centre for Human Factors Engineering of Health Interactive Technology (HIT-lab), Department of Medical Informatics, Academic Medical Center – University of Amsterdam, Amsterdam, The Netherlands; (6) Medical Informatics and Department of Internal Medicine, Hospital of Thun, Thun, Switzerland; (7) Lab of Medical Informatics, Medical School, Aristotle University of Thessaloniki, Greece; (8) EA2694, University Hospital of Lille, Lille, France; (9) Pharmacy Department, Hospital of Denain, Denain, France; (10) CISMeF TIBS team, LITIS EA 4108, Rouen University Hospital, Normandy, France; (11) IT, Medical Technology and Telephony Services of Capital Region, Copenhagen, Denmark; (12) Division of Medical Information Sciences, University Hospitals of Geneva and University of Geneva, Geneva, Switzerland


questionnaires, Clinical decision support systems, Medical order entry systems, attitude, Alerting


Objectives: To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE.

Methods: A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to participate. Eight of the hospitals had different CPOE systems in use, and three of the participating hospitals were not using a CPOE system. #

Results: 1,018 physicians participated. The general attitude of the physicians towards CPOE alerting is positive and is found to be mostly independent of the country, the specific organizational settings in the hospitals and their personal experience with CPOE systems. Both quantitative and qualitative results show that the majority of the physicians, both CPOE-users and non-users, appreciate the benefits of alerting in CPOE systems on medication safety. However, alerting should be better adapted to the clinical context and make use of more sophisticated ways to present alert information. The vast majority of physicians agree that additional information regarding interactions is useful on demand. Around half of the respondents see possible alert overload as a major problem; in this regard, physicians in hospitals with sophisticated alerting strategies show partly better attitude scores.

Conclusions: Our results indicate that the way alerting information is presented to the physicians may play a role in their general attitude towards alerting, and that hospitals with a sophisticated alerting strategy with less interruptive alerts tend towards more positive attitudes. This aspect needs to be further investigated in future studies.

You may also be interested in...


Original Article

Editors Choice

D. W. Bates (1), M. T. Baysari (2, 3), M. Dugas (4), W. E. Haefeli (5), A. W. Kushniruk (6), C. U. Lehmann (7), J. Liu (8, 9), J. Mantas (10), A. Margolis (11), K. Miyo (12), C. Nohr (13), M. Peleg (14), F. G. B. de Quirós (15), S. P. Slight (1, 16), J. Starmer (7), K. Takabayashi (17), J. I. Westbrook (18)

Methods Inf Med 2013 52 2: 109-127

No evidence of progress

Research Article

A. D. Bryant (1), G. S. Fletcher (1, 2), T. H. Payne (1, 2)

Appl Clin Inform 2014 5 3: 802-813


R. Fensli 1, P. E. Pedersen 1, T. Gundersen 2, O. Hejlesen3

Methods Inf Med 2008 47 1: 89-95