Challenges to Reduce Alert Burden Using Current Decision Support Infrastructure in Two Commercial EHR Systems: Lessons Learned and Path Forward.

Tiago K Colicchio¹, David ElHalta², Guilherme Del Fiol³, Kensaku Kawamoto³, Howard R Strasberg⁴, James J Cimino¹

¹Department of Biomedical Informatics and Data Science, University of Alabama at Birmingham, Birmingham, Alabama, United States.

²Department of Pharmacy Services, University of Utah, Salt Lake City, Utah, United States.

³Department of Biomedical Informatics, University of Utah, Salt Lake City, Utah, United States.

⁴Clinical Effectiveness, Wolters Kluwer Health, San Diego, California, United States.

PubMed PMC DOI PDF

Abstract

Despite the proven usefulness of appropriate clinical decision support (CDS) alerts, many CDS systems fire excessive, clinically irrelevant alerts that are often ignored by clinicians. We have developed a method to suppress false-positive alerts based on prior drug tolerance but encountered substantial barriers to integrating the method into widely adopted commercial electronic health record (EHR)…

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