Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts
Year: 2022
Type: review
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.
Source: Applied Clinical Informatics
Institutions: Nationwide Children's Hospital, The Ohio State University, Emory University, Children's Healthcare of Atlanta, University of Rochester Medicine, University of Rochester, Cincinnati Children's Hospital Medical Center, University of Cincinnati, Wake Forest University Health Sciences, Wake Forest University, Vanderbilt University Medical Center, Children's Hospital of Philadelphia, University of Pennsylvania
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4281557486