PCPs are more likely to prescribe inappropriate antibiotics toward the end of a clinic session, probably due to decision fatigue.JAMA Intern Med. 2014 Oct 6; [Epub ahead of print].
Time of day and the decision to prescribe antibiotics.
Linder JA, Doctor JN, Friedberg MW, et al. JAMA Intern Med. 2014 Oct 6; [Epub ahead of print].Unnecessary prescribing of antibiotics for viral conditions can pose patient safety risks. This study found that primary care physicians are more likely to prescribe antibiotics inappropriately toward the end of their clinic session (late morning or late afternoon), which likely represents clinicians' decision fatigue.PubMed citation
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.
Identifying diagnostic errors in primary care using an electronic screening algorithm.
Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.
Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.
Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.
STUDYView all related resources...
Information distortion in physicians' diagnostic judgments.
Kostopoulou O, Russo JE, Keenan G, Delaney BC, Douiri A. Med Decis Making. 2012;32:831-839.
No hay comentarios:
Publicar un comentario