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Summarize this article into a couple of sentences. Then, explain why this topic is important and how it relates to the practice of health informatics
Summarize this article into a couple of sentences. Then, explain why this topic is important and how it relates to the practice of health informatics (health information technology) now or in the future.
Effects of an e-Prescribing interface redesign on rates of generic drug prescribing: exploiting default options FREE Sameer Malhotra, Adam D Cheriff, J Travis Gossey, Curtis L Cole, Rainu Kaushal, Jessica S Ancker Journal of the American Medical Informatics Association, Volume 23, Issue 5, September 2016, Pages 891-898, https://doi.org/10.1093/jamia/ocv192 Published: 17 February 2016 Article history PDF II Split View 66 Cite Permissions Share v Abstract Objective Increasing the use of generic medications could help control medical costs. However, educational interventions have limited impact on prescriber behavior, and e-prescribing alerts are associated with high override rates and alert fatigue. Our objective was to evaluate the effect of a less intrusive intervention, a redesign of an e-prescribing interface that provides default options intended to "nudge" prescribers towards prescribing generic drugs. Methods This retrospective cohort study in an academic ambulatory multispecialty practice assessed the effects of customizing an e-prescribing interface to substitute generic equivalents for brand-name medications during order entry and allow a one-click override to order the brand-name medication. Results Among drugs with generic equivalents, the proportion of generic drugs prescribed more than doubled after the interface redesign, rising abruptly from 39.7% to 95.9% (a 56.2% increase; 95% confidence interval, 56.0-56.4%;P <.001 before the redesign generic drug prescribing rates varied by therapeutic class with as low for genitourinary products and neuromuscular drugs. after all but four classes were above endocrine drugs nutritional miscellaneous products. discussion changing default option in an e-prescribing interface ambulatory care setting was followed large sustained increases proportion of prescribed at practice. conclusions options health information technology exert a powerful effect on user behavior that can be leveraged to optimize decision making. keywords: substitution order entry systems electronic human-computer interaction records issue section: research applications>Step by Step Solution
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