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Educating patients about appropriate narcotics dosing
7%
2/30
Printing out and posting handouts detailing the dangers of narcotics
0%
0/30
Sending an email to all providers notifying them of narcotics prescribing best practices
Changing the electronic medical record to only allow a maximum of 7 days per prescription
57%
17/30
Providing an alert in the electronic medical record that shows the ideal number of days per prescription
27%
8/30
Select Answer to see Preferred Response
The most effective intervention in human factors design are forcing functions. This means that a choice is forced as the default. In the question, changing the default prescription length and forcing the prescription interface such that prescriptions cannot be given for more than 7 days will be the most effective intervention. Human factors design is the study of improving systems based on how humans interact with their environment. This philosophy can be used to improve quality of care and patient safety. The most effective human factors design intervention is a forcing function. In a forcing function, the ideal/optimal choice is required by default. In this question, the most effective way to ensure that no more than 7 days of narcotic pain medication is ordered in the emergency department is to change the electronic medical record default such that it is not possible to order a prescription for more than 7 days. Another example of a forcing function is changing the connectors on feeding tubes and IVs such that they are not compatible, if the goal is to prevent connecting feeding tubes to IV lines. Incorrect Answers: Answer 1: Educating patients about narcotic use is important but will not change the average length of a narcotics prescription. Answer 2: While providing this information publicly is important, handouts will not change the default prescription rate as effectively as changing the default and a forcing function. Answer 3: Sending an email to physicians may be helpful, but forcing the default in the electronic medical record will be the most effective. Answer 5: Providing an alert in the electronic medical record will draw physicians’ attention to the problem, but will not be as effective as forcing a default in the electronic medical record that will not allow prescriptions for longer than 7 days. Bullet Summary: The most effective human factors design intervention is a forcing function, whereby the ideal/optimal choice is required by default.
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