General practitioner views of an electronic high-risk medicine proforma to facilitate information transfer
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Background The potential of warfarin related harm is increased if clinicians lack the full patient specific information to make informed decisions—an e-proforma has been developed to communicate this information on hospital discharge. Objective To determine the views of general practitioners (GPs) on a warfarin discharge e-proforma. Method A cross-sectional survey of all GPs (n = 272) within the Raigmore Hospital catchment area of NHS Highland, Scotland. Results The response rate was 39.3 % (107/272). 84 (78.5 %) noticed recent changes to information supplied on discharge for warfarin patients. 64 (59.8 %) respondents thought this would result in more informed prescribing with regards to dosing, while 65 (60.7 %) felt this would improve safety. Accurate completion, timely receipt of the e-proforma and a realistic date for subsequent INR tests were considered important by GPs. Conclusion This study suggests the use of an e-proforma to communicate information about a high-risk medication, warfarin, to GPs on discharge optimises safe, informed prescribing and monitoring in primary care. The development of a discharge e-proforma for other high-risk medication as a patient safety improvement measure should be explored.
KeywordsHigh-risk medication Integrated care Patient safety Primary care Warfarin
We acknowledge the involvement of Joanne Joyce and Robert Kelly in questionnaire distribution and data entry. We also thank all respondents for their time contributing to this study.
No funding was obtained to conduct this study.
Conflicts of interest
The authors declare that there are no conflicts of interest.
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