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The middle tier consists of rules and processing logic required to collect and prepare data for user presentation (alerts, filters, aggregations, derived values and predictions).
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Van der Sijs et al. [ 20] warn that presenting alerts with different levels of severity increases the override rates compared to alerts without a tiered presentation.
Timing of the CDS presentation, especially alerts, is important to users.
Six weeks after the Alzheimer's conference, investigators flagged the huge reversal by S.A.C. before Gilman's presentation and alerted the Securities and Exchange Commission.
Presentation of alert information [ 6- 8, 10, 41].
As only three of the participants had disclosed abuse to their midwives, most of those caring for the women in this study were unaware that they had a history of CSA and there was little in the women's presentation to alert them to it.
In addition, the pharmacokinetic properties of the drugs should also be evaluated to rule out presentation of inappropriate alerts.
She concluded that a tiered presentation of DDI alerts led to higher compliance rates of the physicians.
Since all of these patient characteristics are known prior to the visit, it is possible that the organization could eliminate the presentation of the alerts in the urgent care setting.
Something vague in the patient's story or in the presentation triggers an alert.
The only way to truly avoid this is to change the system to check for a prescription prior to each presentation of the alert.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com