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. 2021 Dec;29(4):248–252. doi: 10.5455/aim.2021.29.248-252

Table 2. Qualitative Themes and Sub-categories.

THEME JUDGEMENT, EXPERIENCE & GUIDELINES REFERENCES CDSS ISSUES & LIMITATIONS REFERENCES PHYSICIAN BEHAVIOR & SAFETY REFERENCES
REFERENCES 127 113 88
SUB-CATEGORY LEVEL OF EXPERIENCE 61 SYSTEM & ALERTS 44 PHARMACIST SAFETY NET 22
QUOTE “I would say maybe inexperienced people with ordering and they’re just overriding. Like a junior, I mean. A senior would probably know or think more about it”. “Four? But where are the colors? Where do they appear? The colors don’t come up for me. I’ve never paid attention to the colors”. “We have clinical pharmacists, they’re very helpful. We put our problems to them most of the time or work together and they help and fix it for us, they are very helpful”.
SUB-CATEGORY DRUG INFORMATION DATABASES 15 OVERRIDE JUSTIFICATION 50 ALERTS & SAFETY 39
QUOTE “I rely on my knowledge and experience and if I have doubt I check Medscape”. “I think this is one of the major issues. We should have a free text for clinical decisions”. “I think it should always be there, at least the juniors can learn what they're doing and get the appropriate alerts. So, I think I still want it to be in the system”.
SUB-CATEGORY MEDICAL SPECIALTY 39 DOSING ISSUES 19 ALERT FATIGUE 27
QUOTE “Major cause of this difference is our specialty group, we are taking care of extreme pre-term infants sometimes which are neonates with a birth weight of less than 1.5kg. In the system they put mainly the adult and pediatric doses”. “The usual dose in the standard of care that we are using in the adult or pediatric; the system thinks it is not right, so that’s why we say ‘benefit outweighs risk’ ”. “I just override any alert that comes in without seeing it, and I’ll be very frank with this; so sometimes it gives you two to three alerts almost for each and every patient, and some of these alerts are not related to my discipline… find ways to get rid of the alert fatigue!”