Provider Use of and Attitudes Towards an Active Clinical Alert
View/ Open
Provider Use of and Attitudes Towards an Active Clinical Alert.pdf (291.7Kb)
Access Status
Full text of the requested work is not available in DASH at this time ("restricted access"). For more information on restricted deposits, see our FAQ.Author
Schneider, L.
Maloney, F. L.
Wilcox, A. R.
Wright, A.
Published Version
https://doi.org/10.4338/aci-2012-12-ra-0055Metadata
Show full item recordCitation
Feblowitz, J., S. Henkin, J. Pang, H. Ramelson, L. Schneider, F. L. Maloney, A. R. Wilcox, D.W. Bates, and A. Wright. “Provider Use of and Attitudes Towards an Active Clinical Alert: A Case Study in Decision Support.” Applied Clinical Informatics 04, no. 01 (2013): 144–52. https://doi.org/10.4338/ACI-2012-12-RA-0055.Abstract
BackgroundIn a previous study, we reported on a successful clinical decision support (CDS) intervention designed to improve electronic problem list accuracy, but did not study variability of provider response to the intervention or provider attitudes towards it. The alert system accurately predicted missing problem list items based on health data captured in a patient’s electronic medical record.
Objective
To assess provider attitudes towards a rule-based CDS alert system as well as heterogeneity of acceptance rates across providers.
Methods
We conducted a by-provider analysis of alert logs from the previous study. In addition, we assessed provider opinions of the intervention via an email survey of providers who received the alerts (n = 140).
Results
Although the alert acceptance rate was 38.1%, individual provider acceptance rates varied widely, with an interquartile range (IQR) of 14.8%-54.4%, and many outliers accepting none or nearly all of the alerts they received. No demographic variables, including degree, gender, age, assigned clinic, medical school or graduation year predicted acceptance rates. Providers’ self-reported acceptance rate and perceived alert frequency were only moderately correlated with actual acceptance rates and alert frequency.
Conclusions
Acceptance of this CDS intervention among providers was highly variable but this heterogeneity is not explained by measured demographic factors, suggesting that alert acceptance is a complex and individual phenomenon. Furthermore, providers’ self-reports of their use of the CDS alerting system correlated only modestly with logged usage.
Other Sources
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3644821/Citable link to this page
https://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37369210
Collections
- HMS Scholarly Articles [17918]
Contact administrator regarding this item (to report mistakes or request changes)