Literature DB >> 35613913

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

Juan D Chaparro1,2, Jonathan M Beus3,4, Adam C Dziorny5, Philip A Hagedorn6,7, Sean Hernandez8,9, Swaminathan Kandaswamy3, Eric S Kirkendall8,10,11, Allison B McCoy12, Naveen Muthu13,14, Evan W Orenstein3,4.   

Abstract

Interruptive 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. Thieme. All rights reserved.

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Year:  2022        PMID： 35613913      PMCID： PMC9132737          DOI： 10.1055/s-0042-1748856

Source DB:  PubMed          Journal:  Appl Clin Inform        ISSN： 1869-0327            Impact factor:   2.762


  62 in total

1.  Association of interruptions with an increased risk and severity of medication administration errors.

Authors:  Johanna I Westbrook; Amanda Woods; Marilyn I Rob; William T M Dunsmuir; Richard O Day
Journal:  Arch Intern Med       Date:  2010-04-26

2.  A Pragmatic Guide to Establishing Clinical Decision Support Governance and Addressing Decision Support Fatigue: a Case Study.

Authors:  Kensaku Kawamanto; Michael C Flynn; Polina Kukhareva; David ElHalta; Rachel Hess; Travis Gregory; Chris Walls; Angela M Wigren; Damian Borbolla; Bruce E Bray; Mary H Parsons; Brett L Clayson; Melissa S Briley; Carole H Stipelman; Dean Taylor; Carrie S King; Guilherme Del Fiol; Thomas J Reese; Charlene R Weir; Teresa Taft; Micheal B Strong
Journal:  AMIA Annu Symp Proc       Date:  2018-12-05

Review 3.  Clinical decision support alert appropriateness: a review and proposal for improvement.

Authors:  Allison B McCoy; Eric J Thomas; Marie Krousel-Wood; Dean F Sittig
Journal:  Ochsner J       Date:  2014

4.  Alert override as a habitual behavior - a new perspective on a persistent problem.

Authors:  Melissa T Baysari; Amina Tariq; Richard O Day; Johanna I Westbrook
Journal:  J Am Med Inform Assoc       Date:  2017-03-01       Impact factor: 4.497

5.  Creating a Learning Health System through Rapid-Cycle, Randomized Testing.

Authors:  Leora I Horwitz; Masha Kuznetsova; Simon A Jones
Journal:  N Engl J Med       Date:  2019-09-19       Impact factor: 91.245

6.  Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital.

Authors:  Christopher P Bonafide; A Russell Localio; John H Holmes; Vinay M Nadkarni; Shannon Stemler; Matthew MacMurchy; Miriam Zander; Kathryn E Roberts; Richard Lin; Ron Keren
Journal:  JAMA Pediatr       Date:  2017-06-01       Impact factor: 16.193

7.  Measuring Electronic Health Record Use in the Pediatric ICU Using Audit-Logs and Screen Recordings.

Authors:  Amrita Sinha; Lindsay A Stevens; Felice Su; Natalie M Pageler; Daniel S Tawfik
Journal:  Appl Clin Inform       Date:  2021-08-11       Impact factor: 2.762

Review 8.  The design of decisions: Matching clinical decision support recommendations to Nielsen's design heuristics.

Authors:  Kristen Miller; Muge Capan; Danielle Weldon; Yaman Noaiseh; Rebecca Kowalski; Rachel Kraft; Sanford Schwartz; William S Weintraub; Ryan Arnold
Journal:  Int J Med Inform       Date:  2018-05-21       Impact factor: 4.046

9.  Association Between Mobile Telephone Interruptions and Medication Administration Errors in a Pediatric Intensive Care Unit.

Authors:  Christopher P Bonafide; Jeffrey M Miller; A Russell Localio; Amina Khan; Adam C Dziorny; Mark Mai; Shannon Stemler; Wanxin Chen; John H Holmes; Vinay M Nadkarni; Ron Keren
Journal:  JAMA Pediatr       Date:  2020-02-01       Impact factor: 16.193

10.  Quantifying the Impact of Infusion Alerts and Alarms on Nursing Workflows: A Retrospective Analysis.

Authors:  Denny Yu; Marian Obuseh; Poching DeLaurentis
Journal:  Appl Clin Inform       Date:  2021-06-30       Impact factor: 2.762
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  1 in total

1.  Quantifying the Electronic Health Record Burden in Head and Neck Cancer Care.

Authors:  Tom Ebbers; Rudolf B Kool; Ludi E Smeele; Robert P Takes; Guido B van den Broek; Richard Dirven
Journal:  Appl Clin Inform       Date:  2022-09-14       Impact factor: 2.762
  1 in total

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