title: On the alert: future priorities for alerts in clinical decision support for computerized physician order entry identified from a European workshop
creator: Coleman, Jamie J.
creator: van der Sijs, Heleen
creator: Haefeli, Walter E.
creator: Slight, Sarah P.
creator: McDowell, Sarah E.
creator: Seidling, Hanna M.
creator: Eiermann, Birgit
creator: Aarts, Jos
creator: Ammenwerth, Elske
creator: Ferner, Robin E.
creator: Slee, Ann
subject: ddc-610
subject: 610 Medical sciences Medicine
description: Background: Clinical decision support (CDS) for electronic prescribing systems (computerized physician order entry) should help prescribers in the safe and rational use of medicines. However, the best ways to alert users to unsafe or irrational prescribing are uncertain. Specifically, CDS systems may generate too many alerts, producing unwelcome distractions for prescribers, or too few alerts running the risk of overlooking possible harms. Obtaining the right balance of alerting to adequately improve patient safety should be a priority.   Methods: A workshop funded through the European Regional Development Fund was convened by the University Hospitals Birmingham NHS Foundation Trust to assess current knowledge on alerts in CDS and to reach a consensus on a future research agenda on this topic. Leading European researchers in CDS and alerts in electronic prescribing systems were invited to the workshop.   Results: We identified important knowledge gaps and suggest research priorities including (1) the need to determine the optimal sensitivity and specificity of alerts; (2) whether adaptation to the environment or characteristics of the user may improve alerts; and (3) whether modifying the timing and number of alerts will lead to improvements. We have also discussed the challenges and benefits of using naturalistic or experimental studies in the evaluation of alerts and suggested appropriate outcome measures.   Conclusions: We have identified critical problems in CDS, which should help to guide priorities in research to evaluate alerts. It is hoped that this will spark the next generation of novel research from which practical steps can be taken to implement changes to CDS systems that will ultimately reduce alert fatigue and improve the design of future systems.
publisher: BioMed Central
date: 2013
type: Article
type: info:eu-repo/semantics/article
type: NonPeerReviewed
format: application/pdf
identifier: https://archiv.ub.uni-heidelberg.de/volltextserver/21772/1/12911_2013_Article_732.pdf
identifier: DOI:
identifier: urn:nbn:de:bsz:16-heidok-217729
identifier:   Coleman, Jamie J. ; van der Sijs, Heleen ; Haefeli, Walter E. ; Slight, Sarah P. ; McDowell, Sarah E. ; Seidling, Hanna M. ; Eiermann, Birgit ; Aarts, Jos ; Ammenwerth, Elske ; Ferner, Robin E. ; Slee, Ann  (2013) On the alert: future priorities for alerts in clinical decision support for computerized physician order entry identified from a European workshop.  BMC Medical Informatics and Decision Making, 13 (111).  pp. 1-8.  ISSN 1472-6947     
relation: https://archiv.ub.uni-heidelberg.de/volltextserver/21772/
rights: info:eu-repo/semantics/openAccess
rights: Please see front page of the work (Sorry, Dublin Core plugin does not recognise license id)
language: eng