Alert Design in The Real World: A Cross-Sectional Analysis of Interruptive Alerting at 9 Academic Pediatric Health Systems
Moderator
Presenter
Statement of Purpose
The practice of primary care has changed dramatically in recent years to involve providing more care outside scheduled appointments in response to electronic messages from patients. Prior work has characterized the increase in the number of messages clinicians receive from patients, and clinicians’ strategies for managing inbox messages, but little is known about staff members’ experiences with inbox work. Through focus groups and observations with medical assistants and nurses at four primary care clinics, we characterize staff members’ experiences with inbox work, what makes particular messages more difficult to manage, and tools which aid inbox management. While some inbox work was routine and easy to standardize, staff also regularly encountered messages with data that conflicted with clinic records, or that contained vague, redundant, or multiple requests. These findings highlight the data work and articulation work that primary care staff perform to address inbox messages which clinical workflows and information systems should seek to support.
Learning Objectives
- Identify factors which facilitate or complicate inbox management for primary care clinical staff.
- Describe the connection between these facilitators or barriers and socio-technical concepts such as attention scarcity, articulation work, and data work.
Additional Information
Disclosures
Presenter
The following presenters have no relevant financial relationship(s) with ineligible companies to disclose.
- Adam Rule, PhD
AMIA Staff
The AMIA staff have no relevant financial relationship(s) with ineligible companies to disclose.
*All of the relevant financial relationships listed for these individuals have been mitigated.