ReviewApplied clinical informatics2022
Clinical Decision Support Stewardship: Best Practices and Techniques to Monitor and Improve Interruptive Alerts.
Review in Applied clinical informatics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 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
46 citing papers in PubMed.
- An Evaluation of Clinician and Informatician Perspectives on Medication Harm Risk Prediction Tools for Use in a Tertiary Hospital Setting.Journal of evaluation in clinical practice · 2026Article
- Integration of Precision Medicine into ERAS Pathways: A Conceptual Framework, Current Feasibility and Challenges.Journal of personalized medicine · 2026Review
- Enhancing Physician Resilience to Generative AI: Multilevel Framework for Shared Authority, Verification, and Skill Preservation.Journal of medical Internet research · 2026Article
- An empirical study of machine learning robustness and scalability for imbalanced tabular clinical data in emergency and critical care.Scientific reports · 2026Article
- Electronic Strategies for Tailored Exercise to Prevent Falls: Evaluating Implementation in Primary Care.Applied clinical informatics · 2026Article
- Optimizing Clinical Decision Support for Antibiotic Prescribing in Pediatric Acute Respiratory Tract Infections: A Usability Study.Applied clinical informatics · 2026Article
- Article
- A Naloxone Best Practice Advisory That Failed to Signal: A Real‑World Evaluation of an Emergency Department.Cureus · 2026Article
- Machine Learning Model for Sepsis Prediction in Prolonged and Chronic Critical Illness: Development and Validation Using Retrospective Real-World ICU Data.Journal of clinical medicine · 2026Article
- Integrating digital health and remote monitoring: emerging trends in cardiac rehabilitation research for chronic heart failure.Frontiers in cardiovascular medicine · 2026Article
- User-Centered Redesign of a Clinical Decision Support System for Pneumonia in the Emergency Department.Applied clinical informatics · 2026Article
- Indication-based clinical decision support for inpatient urine testing: impacts on utilization, appropriateness, and antibiotic prescribing.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Implementation of an interruptive electronic health record alert improves optimal antibiotic prescribing in ambulatory patients with acute bacterial sinusitis: a quasi-experiment.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Acceptability of Health Information Technology by Health Care Professionals: Where We Are Now and How We Can Fill the Gap.Journal of medical Internet research · 2025Review
- Human performance evaluation of a pediatric artificial intelligence sepsis model.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- A Systematic Approach to Screen, Identify, and Correct Malfunctioning Interruptive Alerts.Applied clinical informatics · 2025Article
- Clinical Decision Support Enhanced by User Acceptance Testing to Promote Situational Awareness for Pediatric Patients with a Difficult Airway.Applied clinical informatics · 2025Article
- Transitioning Ineffective Medications on Hold Alert from Interruptive to Noninterruptive Alert to Decrease Alert Burden.Applied clinical informatics · 2025Article
- Suicidality Screening: Ensuring Providers Do Not Miss Adolescents at High Risk through Clinical Decision Support.Applied clinical informatics · 2025Article
- Implementation of Passive Deterioration Index Alerts in an Intermediate Care Unit: A Failed Early Warning System Strategy.Applied clinical informatics · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Interruptive clinical decision support systems, both within and outside of electronic health records, are a resource that should be used sparingly and monitored closely. Excessive use of interruptive alerting can quickly lead to alert fatigue and decreased effectiveness and ignoring of alerts. In this review, we discuss the evidence for effective alert stewardship as well as practices and methods we have found useful to assess interruptive alert burden, reduce excessive firings, optimize alert effectiveness, and establish quality governance at our institutions. We also discuss the importance of a holistic view of the alerting ecosystem beyond the electronic health record.
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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.