General practitioner views of an electronic high-risk medicine proforma to facilitate information transfer.
Rushworth, Gordon F.
Rudd, Ian G.
Stewart, Derek C.
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RUSHWORTH, G. F., DIACK, L., RUDD, I. G. and STEWART, D., 2015. General practitioner views of an electronic high-risk medicine proforma to facilitate information transfer. International Journal of Clinical Pharmacy, 37 (1), pp 4-7.
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. NOTE - the tables appear at the end of document not in the centre of the text.