Clinical Director Managing Alert Fatigue ePrescribing Masterclass WebEx 3rd February 2016 12pm What is Alert Fatigue When HCPs become desensitised to safety alerts and as a result ignore or fail to respond appropriately ID: 458924
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Slide1
Dr. Andrew Jones
Clinical DirectorSlide2
Managing Alert Fatigue
ePrescribing Masterclass
WebEx
3rd February 2016, 1-2pmSlide3
What is Alert Fatigue?
When HCPs become desensitised to safety alerts and as a result ignore or fail to respond appropriately.
Major unintended consequence of healthcare computerisation
Caused by the sheer number of alerts
Compounded by the
number of alerts
that are clinically inconsequential
Made even more bothersome by
interrupting the
workflowSlide4
4
Underlying factors – ComponentsSlide5
Underlying factors - PMR
Poorly coded entries
Free text entries
Missing information
Absence of contemporaneous codingSlide6
Trivial alerts
Not evidence based
Poorly classified
Insufficient patient context
Underlying factors – CDS knowledgebaseSlide7
Underlying Factors – User interface
Poor design
Overuse of interruptive alerts
Lack of CustomisationSlide8
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What to do about it?Slide9
What to do about it - PMR
Make the UI easy to use so that its not a blocker to good contemporaneous clinical coding
Facilitate current problem list so that only relevant conditions are used for CDSSlide10
What to do about it - CDS
Contextualisation:
Use simple filters to exclude age or gender specific alerts
Use
problem list to trigger condition specific alerts
Use problem list to suppress unnecessary alerts
Use
ethnicity to refine
alertsSlide11
What to do about it - CDS
Facilitate
local customisation of
alerts
One size does not always fit all!
Think very carefully about allowing users to turn off alertsSlide12
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An advanced alert engine can address
alert fatigue
Alerts can be fine-tuned based
on the environment
and
clinical perspective
Support
efficient workflow
with alerts HCPs
value
Drug Database
Advanced Alert Engine
Clinical
Environment
Clinical
Evidence
Clinical
Perspective
Relevant Drug Knowledge
Customisation of AlertsSlide13
Present alerts in manner appropriate to its severity
Only use interruptive alerts for highest severity
Utilise
pro-active
decision support rather than reactive
Present menu of appropriate doses for selection
Limit units of measure to a sensible list
Offer suitable list of routes and suppress any that are dangerous
What to do about it - User InterfaceSlide14
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dbhealth.co.uk
Dr. Andrew Jones