Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity With Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics

被引:86
作者
Kane-Gill, Sandra L. [1 ,2 ]
O'Connor, Michael F. [3 ,4 ]
Rothschild, Jeffrey M. [5 ,6 ]
Selby, Nicholas M. [7 ]
McLean, Barbara [8 ]
Bonafide, Christopher P. [9 ,10 ]
Cvach, Maria M. [11 ]
Hu, Xiao [12 ]
Konkani, Avinash [13 ]
Pelter, Michele M. [12 ]
Winters, Bradford D. [14 ,15 ]
机构
[1] Univ Pittsburgh, Biomed Informat & Clin Translat Sci Inst, Crit Care Med, Dept Pharm, Pittsburgh, PA 15260 USA
[2] UPMC, Dept Pharm, Pittsburgh, PA 15260 USA
[3] Univ Chicago, Sect Pulm & Crit Care Med, Dept Anesthesia & Crit Care, Chicago, IL 60637 USA
[4] Univ Chicago, Dept Med, 5841 S Maryland Ave, Chicago, IL 60637 USA
[5] Brigham & Womens Hosp, Dept Med, Div Gen Med, 75 Francis St, Boston, MA 02115 USA
[6] Harvard Med Sch, Boston, MA USA
[7] Univ Nottingham, Div Med Sci & Grad Entry Med, Ctr Kidney Res & Innovat, Nottingham, England
[8] Grady Hlth Syst, Crit Care Div, Atlanta, GA USA
[9] Childrens Hosp Philadelphia, Dept Biomed & Hlth Informat, Div Gen Pediat, Philadelphia, PA 19104 USA
[10] Univ Penn, Dept Pediat, Perelman Sch Med, Philadelphia, PA 19104 USA
[11] John Hopkins Hlth Syst, Baltimore, MD USA
[12] Univ Calif San Francisco, Dept Physiol Nursing, San Francisco, CA USA
[13] Univ Virginia Hlth Syst, Clin Engn Profess Serv, Charlottesville, VA USA
[14] Johns Hopkins Univ, Sch Med, Dept Anesthesiol, Crit Care Med,Surg, Baltimore, MD USA
[15] Johns Hopkins Univ, Sch Med, Armstrong Inst Patient Safety & Qual, Baltimore, MD USA
关键词
alert burden; alert fatigue; clinical decision support systems; critical care; electronic health records; intensive care unit; CLINICAL DECISION-SUPPORT; ELECTRONIC HEALTH RECORDS; PHYSICIAN ORDER ENTRY; ASHP NATIONAL-SURVEY; DRUG; SYSTEM; CARE; OPTIMIZATION; NETHERLANDS; QUALITY;
D O I
10.1097/CCM.0000000000002580
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Objective: To provide ICU clinicians with evidence-based guidance on tested interventions that reduce or prevent alert fatigue within clinical decision support systems. Design: Systematic review of PubMed, Embase, SCOPUS, and CINAHL for relevant literature from 1966 to February 2017. Patients: Focus on critically ill patients and included evaluations in other patient care settings, as well. Interventions: Identified interventions designed to reduce or prevent alert fatigue within clinical decision support systems. Measurements and Main Results: Study selection was based on one primary key question to identify effective interventions that attempted to reduce alert fatigue and three secondary key questions that covered the negative effects of alert fatigue, potential unintended consequences of efforts to reduce alert fatigue, and ideal alert quantity. Data were abstracted by two reviewers independently using a standardized abstraction tool. Surveys, meeting abstracts, "gray" literature, studies not available in English, and studies with non-original data were excluded. For the primary key question, articles were excluded if they did not provide a comparator as key question 1 was designed as a problem, intervention, comparison, and outcome question. We anticipated that reduction in alert fatigue, including the concept of desensitization may not be directly measured and thus considered interventions that reduced alert quantity as a surrogate marker for alert fatigue. Twenty-six articles met the inclusion criteria. Conclusion: Approaches for managing alert fatigue in the ICU are provided as a result of reviewing tested interventions that reduced alert quantity with the anticipated effect of reducing fatigue. Suggested alert management strategies include prioritizing alerts, developing sophisticated alerts, customizing commercially available alerts, and including end user opinion in alert selection. Alert fatigue itself is studied less frequently, as an outcome, and there is a need for more precise evaluation. Standardized metrics for alert fatigue is needed to advance the field. Suggestions for standardized metrics are provided in this document.
引用
收藏
页码:1481 / 1488
页数:8
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