ArticleJournal of the American Medical Informatics Association : JAMIA2017
Alert override as a habitual behavior - a new perspective on a persistent problem.
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
47 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Real-Time Emergency Department Electronic Notifications Regarding High-Risk Patients: A Systematic Review.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019Pooled it
- Quality Improvement in Gastroenterology: A Systematic Review of Practical Interventions for Clinicians.Digestive diseases and sciences · 2018Pooled it
- Interruptive Electronic Alerts for Choosing Wisely Recommendations: A Cluster Randomized Controlled Trial.Journal of the American Medical Informatics Association : JAMIA · 2022Trial
- Effectiveness of a Hospital-Based Computerized Decision Support System on Clinician Recommendations and Patient Outcomes: A Randomized Clinical Trial.JAMA network open · 2019Trial
- Implementation of medication alert systems and pharmacist satisfaction: a questionnaire-based study.Journal of pharmaceutical health care and sciences · 2026Article
- Optimizing Clinical Decision Support for Antibiotic Prescribing in Pediatric Acute Respiratory Tract Infections: A Usability Study.Applied clinical informatics · 2026Article
- Experiences of Alert Fatigue and Its Contributing Factors in Hospitals: Qualitative Study.Journal of medical Internet research · 2026Article
- Identifying false-positive drug allergy alerts based on drug tolerance assertions: a retrospective study.JAMIA open · 2026Article
- QT prolongation alerts lead to monitoring but rarely to therapeutic changes: a prospective hospital study.Frontiers in pharmacology · 2026Article
- Effectiveness of computerised alerts to reduce drug-drug interactions (DDIs) and DDI-related harm in hospitalised patients: a quasi-experimental controlled pre-post study.BMJ quality & safety · 2025Article
- Management and governance of medication prescribing alerts among hospitals in Japan: a nationwide survey.BMJ open quality · 2025Article
- Improving Discrete Documentation of Cancer Staging-An Alert-Free Approach.Applied clinical informatics · 2025Article
- Allergy alerting and overrides for opioid analogues across two health systems.BMJ health & care informatics · 2025Observational
- Challenges to Reduce Alert Burden Using Current Decision Support Infrastructure in Two Commercial EHR Systems: Lessons Learned and Path Forward.Applied clinical informatics · 2025Article
- The Elements of Style for Interruptive Electronic Health Record Alerts.Applied clinical informatics · 2025Article
- Facilitators and Barriers to Uptake of Drug-Drug Interaction Alerts: Perspectives of Australian End Users and Managers.Applied clinical informatics · 2025Article
- Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- A balancing act: the promise and pitfalls of clinical decision support.Proceedings (Baylor University. Medical Center) · 2025Article
- A Discount Approach to Reducing Nursing Alert Burden.Applied clinical informatics · 2024Article
- Early Warning Systems for Critical Illness Outside the Intensive Care Unit.Critical care clinics · 2024Review
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
Quantifying alert override has been the focus of much research in health informatics, with override rate traditionally viewed as a surrogate inverse indicator for alert effectiveness. However, relying on alert override to assess computerized alerts assumes that alerts are being read and determined to be irrelevant by users. Our research suggests that this is unlikely to be the case when users are experiencing alert overload. We propose that over time, alert override becomes habitual. The override response is activated by environmental cues and repeated automatically, with limited conscious intention. In this paper we outline this new perspective on understanding alert override. We present evidence consistent with the notion of alert override as a habitual behavior and discuss implications of this novel perspective for future research on alert override, a common and persistent problem accompanying decision support system implementation.
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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.