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Allowing individual users to personalize the interface design of CDS alerts may also reduce alert fatigue.
Implementing measures to avoid redundant and conflicting messages from multiple agencies may help reduce alert fatigue.
However, surveys are an important and efficient way to obtain a first understanding of what physicians consider useful to reduce alert overload.
Understanding why doctors use workarounds will enable healthcare providers to modify systems or training programmes to reduce alert fatigue while optimising the appropriateness of CDS alerts.
Tiering alerts on the basis of severity is one of the most important measure to reduce alert overriding and was discussed in detail [ 26].
To reduce alert fatigue DDIs should be noninterruptive and often a small number of interactions account for a large number of interruptions [ 23].
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Increasing the greater specificity of alerts or reducing alert overload may lead to less over-riding.
However, for that reason, physicians might not have been directly impressed by their potential impact in reducing alert overload yet.
One possible approach to reducing alert fatigue is to filter irrelevant and non-urgent alerts and, furthermore, tailor the alerts to a specific patient [ 20].
It is unclear which factors could be combined and which combinations prove to be most beneficial for reducing alert overload and ADE rates.
If this is the approach taken, then terminologies become aligned and rules become refined over time and the universal CDS becomes more specific and reduces alert fatigue.
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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