ArticleApplied clinical informatics2019
Differences, Opportunities, and Strategies in Drug Alert Optimization-Experiences of Two Different Integrated Health Care Systems.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis 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
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Deterministic and stochastic interventions in reducing drug-drug interactions in inappropriate prescribing: A systematic review.PloS one · 2026Pooled it
- Management and governance of medication prescribing alerts among hospitals in Japan: a nationwide survey.BMJ open quality · 2025Article
- Post-implementation optimization of medication alerts in hospital computerized provider order entry systems: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Facilitators and Barriers to Interacting With Clinical Decision Support in the ICU: A Mixed-Methods Approach.Critical care explorations · 2023Article
- Barriers to Adoption of Tailored Drug-Drug Interaction Clinical Decision Support.Applied clinical informatics · 2023Article
- The Need for Data Standards and Implementation Policies to Integrate CGM Data into the Electronic Health Record.Journal of diabetes science and technology · 2023Review
- Evaluation of Clinical Decision Support to Reduce Sedative-Hypnotic Prescribing in Older Adults.Applied clinical informatics · 2021Article
- Drug Alert Experience and Salience during Medical Residency at Two Healthcare Institutions.Applied clinical informatics · 2021Article
- A Narrative Review of Clinical Decision Support for Inpatient Clinical Pharmacists.Applied clinical informatics · 2021Review
- Reducing Inappropriate Outpatient Medication Prescribing in Older Adults across Electronic Health Record Systems.Applied clinical informatics · 2020Article
- Clinical Decision Support and Implications for the Clinician Burnout Crisis.Yearbook of medical informatics · 2020Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundConcerns about the number of automated medication alerts issued within the electronic health record (EHR), and the subsequent potential for alarm fatigue, led us to examine strategies and methods to optimize the configuration of our drug alerts.
objectivesThis article reports on comprehensive drug alerting rates and develops strategies across two different health care systems to reduce the number of drug alerts.
methodsStandardized reports compared drug alert rates between the two systems, among 13 categories of drug alerts. Both health care systems made modifications to the out-of-box alerts available from their EHR and drug information vendors, focusing on system-wide approaches, when relevant, while performing more drug-specific changes when necessary.
resultsDrug alerting rates even after initial optimization were 38 alerts and 51 alerts per 100 drug orders, respectively. Eight principles were identified and developed to reflect the themes in the implementation and optimization of drug alerting.
conclusionA team-based, systematic approach to optimizing drug-alerting strategies can reduce the number of drug alerts, but alert rates still remain high. In addition to strategic principles, additional tactical guidelines and recommendations need to be developed to enhance out-of-the-box clinical decision support for drug alerts.
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