ArticleAMIA ... Annual Symposium proceedings. AMIA Symposium2010
Improving Patient Safety through Medical Alert Management: An Automated Decision Tool to Reduce Alert Fatigue.
Article in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Use of Computerized Physician Order Entry with Clinical Decision Support to Prevent Dose Errors in Pediatric Medication Orders: A Systematic Review.Paediatric drugs · 2024Pooled it
- Factors Affecting Prescriber Implementation of Computer-Generated Medication Recommendations in the SENATOR Trial: A Qualitative Study.Drugs & aging · 2020Trial
- Automated, electronic alerts for acute kidney injury: a single-blind, parallel-group, randomised controlled trial.Lancet (London, England) · 2015Trial
- Alerting thresholds for the prevention of intraoperative awareness with explicit recall: a secondary analysis of the Michigan Awareness Control Study.European journal of anaesthesiology · 2015Trial
- A randomized controlled trial to provide adherence information and motivational interviewing to improve diabetes and lipid control.The Diabetes educator · 2015Trial
- Public health communications and alert fatigue.BMC health services research · 2013Trial
- Pediatricians' responses to printed clinical reminders: does highlighting prompts improve responsiveness?Academic pediatricsTrial
- Clinician Attitudes and Perceptions of Point-of-Care Information Resources and Their Integration Into Electronic Health Records: Qualitative Interview Study.JMIR medical informatics · 2025Article
- Review
- 'We don't live in a harm reduction world, we live in a prohibition world': tensions arising in the design of drug alerts.Harm reduction journal · 2023Article
- Alerting to acute kidney injury - Challenges, benefits, and strategies.Practical laboratory medicine · 2022Article
- Improved preventive care clinical decision-making efficiency: leveraging a point-of-care clinical decision support system.BMC medical informatics and decision making · 2021Article
- Article
- The Effect of Eliminating Intermediate Severity Drug-Drug Interaction Alerts on Overall Medication Alert Burden and Acceptance Rate.Applied clinical informatics · 2019Article
- Inpatient Communication Networks: Leveraging Secure Text-Messaging Platforms to Gain Insight into Inpatient Communication Systems.Applied clinical informatics · 2019Article
- A Potential Answer to the Alert Override Riddle: Using Patient Attributes to Predict False Positive Alerts.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019Article
- The Effects of Medication Alerts on Prescriber Response in a Pediatric Hospital.Applied clinical informatics · 2017Article
- Online Conditional Outlier Detection in Nonstationary Time Series.Proceedings of the ... International Florida AI Research Society Conference. Florida AI Research Symposium · 2017Article
- Improving Clinical Decision Support in Pharmacy: Toward the Perfect DUR Alert.Journal of managed care & specialty pharmacy · 2017Article
- Health Informatics in Developing Countries: A Review of Unintended Consequences of IT Implementations, as They Affect Patient Safety and Recommendations on How to Address Them.Yearbook of medical informatics · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Drug safety alerts, a feature of electronic medical records (EMRs), are increasingly recognized as valuable tools for reducing adverse drug events and improving patient safety. However, there has also been increased understanding that alert fatigue, a state in which users become overwhelmed and unresponsive to alerts in general, is a threat to patient safety. In this paper, we seek to mitigate alert fatigue by filtering superfluous alerts. We design a method of predicting alert overrides based on past alert override rate, range in override rate, and sample size. Using a dataset from a large pediatric network, we retroactively test and validate our method. For the test implementation, alerts are filtered with 91-96% accuracy, depending on the parameter values selected. By filtering these alerts, we reduce alert fatigue and allow users to refocus resources to potentially vital alerts, reducing the occurrence of adverse drug events.
Indexed as
Identifiers
21347012PMC3041356What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.