Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts-Reference-Cited by-同舟云学术

Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts

Published:2022-05 Issue:03 Volume:13 Page:560-568
ISSN:1869-0327
Container-title:Applied Clinical Informatics
language:en
Short-container-title:Appl Clin Inform

Author:

Chaparro Juan D.¹²,Beus Jonathan M.³⁴,Dziorny Adam C.⁵,Hagedorn Philip A.⁶⁷,Hernandez Sean⁸⁹,Kandaswamy Swaminathan³,Kirkendall Eric S.⁸¹⁰¹¹,McCoy Allison B.¹²,Muthu Naveen¹³¹⁴,Orenstein Evan W.³⁴

Affiliation:

1. Division of Clinical Informatics, Nationwide Children's Hospital, Columbus, Ohio, United States

2. Departments of Pediatrics and Biomedical Informatics, The Ohio State University College of Medicine, Columbus, Ohio, United States

3. Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia, United States

4. Children's Healthcare of Atlanta, Atlanta, Georgia, United States

5. Department of Pediatrics, University of Rochester School of Medicine, Rochester, New York, United States

6. Department of Pediatrics, University of Cincinnati, College of Medicine, Cincinnati, Ohio, United States

7. Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States

8. Center for Healthcare Innovation, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States

9. Department of General Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States

10. Department of Pediatrics, Wake Forest School of Medicine, Winston-Salem, North Carolina, United States

11. Center for Biomedical Informatics, Wake Forest School of Medicine, Winston-Salem NC, United States

12. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, Tennessee, United States

13. Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, United States

14. Department of Biomedical and Health Informatics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, United States

Abstract

AbstractInterruptive clinical decision support systems, both within and outside of electronic health records, are a resource that should be used sparingly and monitored closely. Excessive use of interruptive alerting can quickly lead to alert fatigue and decreased effectiveness and ignoring of alerts. In this review, we discuss the evidence for effective alert stewardship as well as practices and methods we have found useful to assess interruptive alert burden, reduce excessive firings, optimize alert effectiveness, and establish quality governance at our institutions. We also discuss the importance of a holistic view of the alerting ecosystem beyond the electronic health record.

Publisher

Georg Thieme Verlag KG

Subject

Health Information Management,Computer Science Applications,Health Informatics

Link

http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0042-1748856.pdf

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