Evidence map›Paper›PMID 42790526›Full record

ArticleApplied clinical informatics2026

Qualitative Study of Inpatient Hospital Medicine Interruptive Alerts and Clinical Decision Support.

Afifah Khan, Jeffrey Schnipper

Abstract read
In one paragraph

Article in Applied clinical informatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Afifah KhanBrigham and Women's Hospital, Department of General Internal Medicine, Massachusetts, United States, Boston.ORCID 0009-0007-9825-8550
Jeffrey SchnipperBrigham and Women's Hospital, Department of General Internal Medicine, Massachusetts, United States, Boston.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Abstract:

backgroundAlthough interruptive alerts, or pop-ups, are one of the most common forms of clinical decision support (CDS) tools within the electronic health record (EHR), they are often ignored. Interruptive alerts have the potential to enhance patient care and reduce clinician burden, but end-users frequently experience alert fatigue and override alerts, defeating their purpose. Few studies have elicited the perspectives of all stakeholder groups involved in the development, experience, and review of inpatient interruptive alerts in the modern vendor EHR era. Abstract:

objectivesThis study aimed to understand the perspectives of multiple stakeholders involved in development, governance, and use of inpatient interruptive alerts. Abstract:

methodsWe conducted a qualitative study, interviewing 22 participants, including 15 end-users, 4 governance group members, 2 clinical leads, and 1 information systems staff member. The semi-structured interview guides were designed to explore different participant perspectives on interruptive alerts. Abstract:

resultsWe found three domains across end-users related to interruptive alert helpfulness, proportionality, and alarm fatigue. We found three domains across the governance, clinical lead, and information system groups about the causes of high-volume and high-sensitivity interruptive alerts, differing definitions of interruptive alert success from end-users, and reluctance to add new interruptive alerts but limited changes or retirement of existing interruptive alerts. Barriers to successful CDS could be grouped into end-user, technical, and governance-level barriers. We found one governance-level facilitator and gathered several recommendations for CDS improvement from all stakeholder groups, including changing alert "interruptiveness," customizability, design, responsiveness, and involving end-users in alert analysis. Abstract:

conclusionThis study highlights the need for robust, user-centered alerts and CDS development and evaluation to improve clinician experiences and potentially patient outcomes.

Indexed as

Decision Support Systems, ClinicalHospital MedicineInpatientsMedical Order Entry SystemsQualitative ResearchElectronic Health RecordsHumans

Identifiers

PMID42790526
PMCPMC13657796

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Registered trials

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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.