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General practitioner views of an electronic high-risk medicine proforma to facilitate information transfer.

Rushworth, Gordon F.; Diack, Lesley; Rudd, Ian G.; Stewart, Derek


Gordon F. Rushworth

Lesley Diack

Ian G. Rudd

Derek Stewart


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.


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 [online], 37(1), pages 4-7. Available from:

Journal Article Type Article
Acceptance Date Oct 30, 2014
Online Publication Date Nov 14, 2014
Publication Date Feb 28, 2015
Deposit Date Nov 12, 2015
Publicly Available Date Nov 15, 2015
Journal International journal of clinical pharmacy
Print ISSN 2210-7703
Electronic ISSN 2210-7711
Publisher Springer
Peer Reviewed Peer Reviewed
Volume 37
Issue 1
Pages 4-7
Keywords High risk medication; Integrated care; Patient safety; Primary care; Warfarin
Public URL


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