Imperial College London
Alternate

PROFESSOR AZEEM MAJEED

Faculty of Medicine, School of Public Health

Chair - Primary Care and Public Health & Head of Department
 
 
 
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Contact

 

+44 (0)20 7594 3368a.majeed Website

 
 
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Assistant

 

Ms Dorothea Cockerell +44 (0)20 7594 3368

 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Cecil:2021:10.1136/bmjopen-2020-045050,
author = {Cecil, E and Dewa, L and Ma, R and Majeed, F and Aylin, P},
doi = {10.1136/bmjopen-2020-045050},
journal = {BMJ Open},
title = {General practitioner and nurse practitioner attitudes towards electronic reminders in primary care: A qualitative analysis},
url = {http://dx.doi.org/10.1136/bmjopen-2020-045050},
volume = {11},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Objectives Reminders in primary care administrative systems aim to help clinicians provide evidence-based care, prescribe safely and save money. However, increased use of reminders can lead to alert fatigue. Our study aimed to assess general practitioners’ (GPs) and nurse practitioners’ (NPs) views on electronic reminders in primary care.Design A qualitative analysis using semistructured interviews.Setting and participants Fifteen GPs and NP based in general practices located in North-West London and Yorkshire, England.Methods We collected data on participants’ views on: (1) perceptions of the value of information provided; (2) reminder-related behaviours and (3) how to improve reminders. We carried out a thematic analysis.Results Participants were familiar with reminders in their clinical systems and felt many were important to support their clinical work. However, participants reported, on average, 70% of reminders were ignored. Four major themes emerged: (1) reaction to a reminder, which was mixed and varied by situation. (2) Factors influencing the decision to act on reminders, often related to experience, consultation styles and interests of participants. Time constraints, alert design, inappropriate presentation and litigation were also factors. (3) Negative consequences of using reminders were increased workload or costs and compromising GP and NPs behaviour. (4) Factors relating to improving users’ engagement with reminders were prevention of unnecessary reminders through data linkage across healthcare administrative systems or the development of more intelligent algorithms. Participants felt training was vital to effectively manage reminders.Conclusions GPs and NPs believe reminders are useful in supporting the provision of good quality patient care. Improving GPs and NPs’ engagement with reminders centres on further developing their relevance to their clinical practice, which is personalised, considers cognitive workflow and s
AU  - Cecil,E
AU  - Dewa,L
AU  - Ma,R
AU  - Majeed,F
AU  - Aylin,P
DO  - 10.1136/bmjopen-2020-045050
PY  - 2021///
SN  - 2044-6055
TI  - General practitioner and nurse practitioner attitudes towards electronic reminders in primary care: A qualitative analysis
T2  - BMJ Open
UR  - http://dx.doi.org/10.1136/bmjopen-2020-045050
UR  - http://hdl.handle.net/10044/1/90412
VL  - 11
ER  -
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