Physicians' Perspectives on Prescription Alerts: A Journey Towards Reducing Fatigue
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View abstract on PubMed
Summary
This summary is machine-generated.Physician alert fatigue from electronic medical records (EMR) is high, with 81% overwhelmed. Reducing non-critical alerts improved efficiency without impacting prescriptions, suggesting a need for streamlined systems.
Area Of Science
- Health Informatics
- Clinical Decision Support Systems
- Patient Safety
Background
- Alerts in electronic medical records (EMR) and decision support systems aim to improve patient safety.
- However, excessive alerts cause alert fatigue, desensitizing clinicians and potentially harming patients.
Purpose Of The Study
- To examine physicians' experiences with EMR alerts and alert fatigue.
- To assess the impact of reducing non-critical alerts on clinical practice and prescription behavior.
Main Methods
- A mixed-methods approach using anonymous surveys and interrupted time series (ITS) analysis.
- Physicians provided feedback via Google Forms; EMR prescription data were analyzed.
- Intervention involved removing "Powerful Drugs" and "Multiple Prescriptions" alerts.
Main Results
- 76% of physicians found alerts helpful, but 81% reported alert fatigue.
- 55% admitted to dismissing alerts without reading; administrative/cost alerts were most problematic.
- Reducing non-critical alerts by ~13,000/month did not significantly change prescription behavior.
Conclusions
- Alert fatigue significantly impacts healthcare providers, diminishing efficiency and potentially patient safety.
- Streamlining EMR alert systems by reducing non-critical notifications is crucial.
- Incorporating clinician feedback is essential for managing alert fatigue and enhancing care.
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