ArticleJournal of the American Medical Informatics Association : JAMIA2016
Alert dwell time: introduction of a measure to evaluate interruptive clinical decision support alerts.
Article in Journal of the American Medical Informatics Association : JAMIA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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
17 citing papers in PubMed.
- Experiences of Alert Fatigue and Its Contributing Factors in Hospitals: Qualitative Study.Journal of medical Internet research · 2026Article
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- "I worry we'll blow right by it:" Barriers to Uptake of the STRATIFY-CDS for Acute Heart Failure.Applied clinical informatics · 2025Article
- Sisyphus' Alert: The Uphill Struggle to Improve Venous Thromboembolism Prophylaxis Clinical Decision Support.Applied clinical informatics · 2025Article
- A Discount Approach to Reducing Nursing Alert Burden.Applied clinical informatics · 2024Article
- In pursuit of the alert fatigue: an assessment of drug alert burden at a large academic medical center.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Optimizing Best Practice Advisory alerts in electronic medical records with a multi-pronged strategy at a tertiary care hospital in Singapore.JAMIA open · 2023Article
- Pseudorandomized Testing of a Discharge Medication Alert to Reduce Free-Text Prescribing.Applied clinical informatics · 2023Article
- Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts.Applied clinical informatics · 2022Review
- Alerts in Clinical Decision Support Systems (CDSS): A Bibliometric Review and Content Analysis.Healthcare (Basel, Switzerland) · 2022Article
- Seeking the Right Time for Venous Thromboembolism Prophylaxis Alerts.The Brown journal of hospital medicine · 2022Article
- Reducing Alert Burden in Electronic Health Records: State of the Art Recommendations from Four Health Systems.Applied clinical informatics · 2020Article
- Evaluating the Impact of Interruptive Alerts within a Health System: Use, Response Time, and Cumulative Time Burden.Applied clinical informatics · 2019Article
- Article
- Timely Interventions for Children with ADHD through Web-Based Monitoring Algorithms.Diseases (Basel, Switzerland) · 2019Article
- Testing modes of computerized sepsis alert notification delivery systems.BMC medical informatics and decision making · 2016Article
- Integrating pharmacogenomics into electronic health records with clinical decision support.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2016Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
Metrics for evaluating interruptive prescribing alerts have many limitations. Additional methods are needed to identify opportunities to improve alerting systems and prevent alert fatigue. In this study, the authors determined whether alert dwell time-the time elapsed from when an interruptive alert is generated to when it is dismissed-could be calculated by using historical alert data from log files. Drug-drug interaction (DDI) alerts from 3 years of electronic health record data were queried. Alert dwell time was calculated for 25,965 alerts, including 777 unique DDIs. The median alert dwell time was 8 s (range, 1-4913 s). Resident physicians had longer median alert dwell times than other prescribers (P < 001). The 10 most frequent DDI alerts (n = 8759 alerts) had shorter median dwell times than alerts that only occurred once (P < 001). This metric can be used in future research to evaluate the effectiveness and efficiency of interruptive prescribing alerts.
Indexed as
Identifiers
What 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.