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A Systematic Approach to Screen, Identify, and Correct Malfunctioning Interruptive Alerts.

EzzAddin Al Wahsh1, Justin Juskewitch2, Carol Eichenlaub3

  • 1AL Clinic, Minneapolis, Minnesota, United States.

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Summary
This summary is machine-generated.

A multimodal approach effectively identifies and corrects malfunctioning clinical alerts, reducing alert fatigue and improving patient care. This systematic strategy optimizes resource allocation for healthcare systems.

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Area of Science:

  • Clinical Informatics
  • Healthcare Systems Engineering
  • Patient Safety

Background:

  • Interruptive alerts negatively impact clinical workflows, leading to alert fatigue, provider frustration, and burnout.
  • Alert overriding is a common, heterogeneous issue across diverse healthcare settings.
  • A systematic approach is needed to manage malfunctioning alerts and preserve beneficial ones.

Purpose of the Study:

  • To develop and implement a systematic approach for screening, identifying, and correcting malfunctioning interruptive alerts within a tertiary healthcare system.
  • To evaluate the effectiveness of multimodal interventions in addressing alert populations.
  • To improve the governance structure for alert management.

Main Methods:

  • Screening alert populations using defined inclusion/exclusion criteria.
  • Conducting exploratory analysis and expert panel validation.
  • Performing root cause analysis via focus groups and interviews.
  • Prioritizing alerts for improvement and evaluating solutions.

Main Results:

  • Assessed approximately 1,500 unique alerts from January to June 2023.
  • Utilized alert-focused and people/systems-focused analysis methods.
  • Identified enterprise practice changes, design, and cultural issues as triggers for alert malfunctions.
  • Demonstrated the value of an expert panel in enhancing alert evaluation.

Conclusions:

  • A multi-modal intervention approach is essential for evaluating and acting on interruptive alerts efficiently.
  • Combining analytical and non-analytical methods provides a synergistic framework for alert management.
  • This systematic approach can reduce time and optimize resource allocation for addressing institutional alert challenges.