An Evaluation of Clinician and Informatician Perspectives on Medication Harm Risk Prediction Tools for Use in a Tertiary Hospital Setting

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2026-09-13 DOI:10.1111/jep.70592

Jonathan Yong Jie Lam, Michael Barras, Ian A. Scott, Ahmad Abdel-Hafez, Nazanin Falconer

{"title":"An Evaluation of Clinician and Informatician Perspectives on Medication Harm Risk Prediction Tools for Use in a Tertiary Hospital Setting","authors":"Jonathan Yong Jie Lam, Michael Barras, Ian A. Scott, Ahmad Abdel-Hafez, Nazanin Falconer","doi":"10.1111/jep.70592","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Risk prediction tools (RPTs) use clinical data to estimate the likelihood of adverse events such as medication harm and institute preventive strategies. However, their adoption in hospitals can be limited by implementation challenges, workflow integration barriers, and technical constraints.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>This study aimed to determine clinicians' and informaticians' perspectives on the requirements, factors influencing adoption of digital RPTs for medication harm in hospitals, and to identify effective implementation strategies.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Semi-structured interviews were conducted with clinicians and informaticians in three Australian digital hospitals within the Metro South Hospital and Health Service in 2025. Themes were inductively identified and deductively mapped to the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Twenty-two interviews were conducted with six doctors, eleven pharmacists, and five informaticians. Five themes were identified, reflecting key influences on the implementation of digital RPTs in hospitals, including clinician trust, perceived utility, and organisational readiness. Desired features such as automation, feedback functionality, and workflow compatibility were seen as essential to adoption. While enablers included comprehensive feedback mechanisms and adequate resource planning, barriers included poor integration with existing systems and uncertainty around tool reliability.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Stakeholders recognised the value of digital RPTs in supporting medication safety. Understanding their perceptions and experiences is necessary for addressing barriers and enhancing tool acceptability. This study highlighted desirable tool features and organisational factors that influence successful implementation. These findings can inform strategies for effective implementation, adoption, and sustained use of RPTs in hospital settings.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"32 6","pages":""},"PeriodicalIF":1.5000,"publicationDate":"2026-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571773/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of evaluation in clinical practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jep.70592","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

Risk prediction tools (RPTs) use clinical data to estimate the likelihood of adverse events such as medication harm and institute preventive strategies. However, their adoption in hospitals can be limited by implementation challenges, workflow integration barriers, and technical constraints.

Objectives

This study aimed to determine clinicians' and informaticians' perspectives on the requirements, factors influencing adoption of digital RPTs for medication harm in hospitals, and to identify effective implementation strategies.

Methods

Semi-structured interviews were conducted with clinicians and informaticians in three Australian digital hospitals within the Metro South Hospital and Health Service in 2025. Themes were inductively identified and deductively mapped to the Integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework.

Results

Twenty-two interviews were conducted with six doctors, eleven pharmacists, and five informaticians. Five themes were identified, reflecting key influences on the implementation of digital RPTs in hospitals, including clinician trust, perceived utility, and organisational readiness. Desired features such as automation, feedback functionality, and workflow compatibility were seen as essential to adoption. While enablers included comprehensive feedback mechanisms and adequate resource planning, barriers included poor integration with existing systems and uncertainty around tool reliability.

Conclusion

Stakeholders recognised the value of digital RPTs in supporting medication safety. Understanding their perceptions and experiences is necessary for addressing barriers and enhancing tool acceptability. This study highlighted desirable tool features and organisational factors that influence successful implementation. These findings can inform strategies for effective implementation, adoption, and sustained use of RPTs in hospital settings.

查看原文本刊更多论文

评估临床医生和信息学家对三级医院使用的药物危害风险预测工具的观点。

风险预测工具（RPTs）使用临床数据来估计药物伤害等不良事件的可能性，并制定预防策略。然而，它们在医院的采用可能会受到实现挑战、工作流集成障碍和技术限制的限制。目的：本研究旨在了解临床医生和信息学家对医院采用数字化RPTs的需求、影响因素的看法，并确定有效的实施策略。方法：对2025年Metro South医院和卫生服务部门内三家澳大利亚数字医院的临床医生和信息学家进行半结构化访谈。主题被归纳确定，并演绎映射到卫生服务研究实施综合促进行动（i-PARIHS）框架。结果：共对6名医生、11名药师、5名信息学家进行了22次访谈。确定了五个主题，反映了对医院实施数字rpt的关键影响，包括临床医生信任、感知效用和组织准备程度。期望的特性，如自动化、反馈功能和工作流兼容性，被认为是采用的必要条件。虽然推动因素包括全面的反馈机制和充分的资源规划，但障碍包括与现有系统的集成不良以及工具可靠性的不确定性。结论：利益相关者认识到数字化RPTs在支持用药安全方面的价值。了解他们的看法和经验对于解决障碍和提高工具的可接受性是必要的。本研究强调了影响成功实施的理想工具特征和组织因素。这些发现可以为在医院环境中有效实施、采用和持续使用RPTs的策略提供信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.