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

TitleClinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts.
Publication TypeJournal Article
Year of Publication2022
AuthorsChaparro JD, Beus JM, Dziorny AC, Hagedorn PA, Hernandez S, Kandaswamy S, Kirkendall ES, McCoy AB, Muthu N, Orenstein EW
JournalAppl Clin Inform
Volume13
Issue3
Pagination560-568
Date Published2022 May
ISSN1869-0327
KeywordsDecision Support Systems, Clinical, Ecosystem, Electronic Health Records, Medical Order Entry Systems
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.

DOI10.1055/s-0042-1748856
Alternate JournalAppl Clin Inform
PubMed ID35613913