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Chronic stabilized outpatients showed a greater alerting effect using this version of ANT than C. Previous studies with ANT have not reported this result and indeed have found unchanged [ 27, 28, 31] or reduced alerting efficiency [ 29].
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This approach avoids the need to routinely examine multiple evidence sources and encourages routine investigation, not only by reducing alerting but also by directing attention to alerts that are likely connected with serious illness, with readily accessible details on which criteria were activated.
Pairing data from L1 and L5 will help reduce alert times, too.
Incorporating physician orders in the alert criteria improves specificity while maintaining sensitivity, which is important to reduce alert fatigue.
Phansalkar S, van der Sijs H, Tucker AD, Desai AA, Bell DS, Teich JM, et al. Drug drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Allowing individual users to personalize the interface design of CDS alerts may also reduce alert fatigue.
Increasing the greater specificity of alerts or reducing alert overload may lead to less over-riding.
Implementing measures to avoid redundant and conflicting messages from multiple agencies may help reduce alert fatigue.
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].
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.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com