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

被引：18
|
作者：
Chaparro, Juan D. [1 ,2 ,3 ]
Beus, Jonathan M. [4 ,5 ]
Dziorny, Adam C. [6 ]
Hagedorn, Philip A. [7 ,8 ]
Hernandez, Sean [9 ,10 ]
Kandaswamy, Swaminathan [4 ]
Kirkendall, Eric S. [9 ,11 ,12 ]
McCoy, Allison B. [13 ]
Muthu, Naveen [14 ,15 ]
Orenstein, Evan W. [4 ,5 ]
机构：
[1] Nationwide Childrens Hosp, Div Clin Informat, Columbus, OH 43205 USA
[2] Ohio State Univ, Coll Med, Dept Pediat, Columbus, OH 43210 USA
[3] Ohio State Univ, Coll Med, Dept Biomed Informat, Columbus, OH 43210 USA
[4] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA
[5] Childrens Healthcare Atlanta, Atlanta, GA USA
[6] Univ Rochester, Sch Med, Dept Pediat, Rochester, NY 14642 USA
[7] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[8] Cincinnati Childrens Hosp Med Ctr, Div Hosp Med, Cincinnati, OH 45229 USA
[9] Wake Forest Sch Med, Ctr Healthcare Innovat, Winston Salem, NC 27101 USA
[10] Wake Forest Sch Med, Dept Gen Internal Med, Winston Salem, NC 27101 USA
[11] Wake Forest Sch Med, Dept Pediat, Winston Salem, NC 27101 USA
[12] Wake Forest Sch Med, Ctr Biomed Informat, Winston Salem, NC 27101 USA
[13] Vanderbilt Univ, Med Ctr, Dept Biomed Informat, Nashville, TN USA
[14] Univ Penn, Perelman Sch Med, Dept Pediat, Philadelphia, PA 19104 USA
[15] Univ Penn, Childrens Hosp Philadelphia, Dept Biomed & Hlth Informat, Philadelphia, PA 19104 USA
来源：
APPLIED CLINICAL INFORMATICS | 2022年 / 13卷 / 03期
关键词：
linical information system use; administration; and maintenance; clinical decision support; organizational change management mixed methodologies; socio-technical aspects of information technology; RESPONSE-TIME; HEALTH SYSTEM; ALARMS; MALFUNCTIONS; ASSOCIATION; BEHAVIOR; IMPACT; APPROPRIATENESS; QUALITY; DESIGN;
D O I：
10.1055/s-0042-1748856
中图分类号：
R-058 [];
学科分类号：
摘要：
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.
引用
收藏
页码：560 / 568
页数：9
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