ArticleApplied clinical informatics2017
The Effects of Medication Alerts on Prescriber Response in a Pediatric Hospital.
Article in Applied clinical informatics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Pharmacogenomic augmented machine learning in electronic health record alerts: A health system-wide usability survey of clinicians.Clinical and translational science · 2024Article
- The potential for leveraging machine learning to filter medication alerts.Journal of the American Medical Informatics Association : JAMIA · 2022Article
- Modulators Influencing Medication Alert Acceptance: An Explorative Review.Applied clinical informatics · 2022Review
- Drug Alert Experience and Salience during Medical Residency at Two Healthcare Institutions.Applied clinical informatics · 2021Article
- Smart pumps improve medication safety but increase alert burden in neonatal care.BMC medical informatics and decision making · 2019Article
- The Effect of Eliminating Intermediate Severity Drug-Drug Interaction Alerts on Overall Medication Alert Burden and Acceptance Rate.Applied clinical informatics · 2019Article
- Differences, Opportunities, and Strategies in Drug Alert Optimization-Experiences of Two Different Integrated Health Care Systems.Applied clinical informatics · 2019Article
- Evaluating the Impact of Interruptive Alerts within a Health System: Use, Response Time, and Cumulative Time Burden.Applied clinical informatics · 2019Article
- Article
- Evaluation of a Novel System to Enhance Clinicians' Recognition of Preadmission Adverse Drug Reactions.Applied clinical informatics · 2018Article
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Authors and funding
9 authors.
Funding
Abstract
objectiveMore than 70% of hospitals in the United States have electronic health records (EHRs). Clinical decision support (CDS) presents clinicians with electronic alerts during the course of patient care; however, alert fatigue can influence a provider's response to any EHR alert. The primary goal was to evaluate the effects of alert burden on user response to the alerts.
methodsWe performed a retrospective study of medication alerts over a 24-month period (1/2013-12/2014) in a large pediatric academic medical center. The institutional review board approved this study. The primary outcome measure was alert salience, a measure of whether or not the prescriber took any corrective action on the order that generated an alert. We estimated the ideal number of alerts to maximize salience. Salience rates were examined for providers at each training level, by day of week, and time of day through logistic regressions.
resultsWhile salience never exceeded 38%, 49 alerts/day were associated with maximal salience in our dataset. The time of day an order was placed was associated with alert salience (maximal salience 2am). The day of the week was also associated with alert salience (maximal salience on Wednesday). Provider role did not have an impact on salience.
conclusionAlert burden plays a role in influencing provider response to medication alerts. An increased number of alerts a provider saw during a one-day period did not directly lead to decreased response to alerts. Given the multiple factors influencing the response to alerts, efforts focused solely on burden are not likely to be effective.
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