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Alert Design in The Real World: A Cross-Sectional Analysis of Interruptive Alerting at 9 Academic Pediatric Health Systems

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Moderator

Jacqueline You, MD, MBI
Brigham and Women's Hospital

Presenter

Swaminathan Kandaswamy, PhD
Emory University

Statement of Purpose

Design elements critical for CDS have been recommended in the literature. However, adherence to these recommendations is not clear. In this work, we assessed the prevalence of recommended design elements in implemented electronic health record (EHR) interruptive alerts across pediatric care settings. We found huge variation in the number of custom interruptive alerts across institutions and found huge variation in their design. Specifically, 78% of alerts stated their purpose, over half were directive, and 13% were informational. Only 2%-20% of alerts explained the consequences of inaction. We need to find an optimal balance of alert functions and desirable features of alert representation. Future work should explore EHR alert design best practices to improve efficiency and effectiveness.

Learning Objectives

  1. Recognize the recommended design elements for CDS.
  2. Recall the prevalence of recommended design elements in implemented electronic health record (EHR) interruptive alerts in pediatric settings.

Additional Information

The target audience for this activity includes physicians, nurses, other healthcare providers, and medical informaticians.

No commercial support (funding from a governmental agency, ineligible company or in-kind donation) was received for this activity.  

Completion of this “Enduring Material” is demonstrated by participating in the live webinar or viewing the on-demand recording, engaging with presenters during the live session by submitting questions, and completing the evaluation survey at the conclusion of the course.

Learners may claim credit and download a certificate upon submission of the evaluation. Participation in additional resources and the course forum is encouraged but optional.

ACCME Accreditation Statement

The American Medical Informatics Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The American Medical Informatics Association designates this Enduring activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ANCC Accreditation Statement

The American Medical Informatics Association is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
 
Nurse Planner (Content): Robin Austin, PhD, DNP, DC, RN, NI-BC, FAMIA, FAAN
 
Approved Contact Hours: 1 CME/CNE

*Learners may earn 1 contact hour for each monthly Journal Club session, for a maximum of 6 contact hours per year. To receive the full 6 contact hours, participants must either attend the live webinar or view the on-demand recording for each Regularly Scheduled Series (RSS) Journal Club presentation.

It is the policy of the American Medical Informatics Association (AMIA) to ensure that Continuing Medical Education (CME) activities are independent and free of commercial bias. To ensure educational content is objective, balanced, and guarantee content presented is in the best interest of its learners and the public, the AMIA requires that everyone in a position to control educational content disclose all financial relationships with ineligible companies within the prior 24 months. An ineligible company is one whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients. Examples can be found at accme.org.

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, AMIA has implemented mechanisms prior to the planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.

In accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education, AMIA has implemented mechanisms prior to planning and implementation of this CME activity to identify and mitigate all relevant financial relationships for all individuals in a position to control the content of this CME activity.

Faculty and planners who refuse to disclose any financial relationships with ineligible companies will be disqualified from participating in the educational activity.

For an individual with no relevant financial relationship(s), course participants must be informed that no conflicts of interest or financial relationship(s) exist.

Disclosures

Presenter

The following presenters have no relevant financial relationship(s) with ineligible companies to disclose.

  • Swaminathan Kandaswamy, 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.

 

Dates and Times:
Type: JAMIA Journal Club
Course Format(s): On Demand
Price: Free
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