Optimising computerised alerts within electronic medication management systems

A synthesis of four years of research

Melissa T. Baysari*, Johanna I. Westbrook, Katrina Richardson, Richard O. Day

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

11 Citations (Scopus)
21 Downloads (Pure)

Abstract

Most studies evaluating the effect of computerised alerts embedded in electronic medication management systems (eMMS) on prescribing behavior demonstrate positive and often substantial effects. But many studies also report that doctors override computerised alerts, sometimes up to 95% of the time. Alert fatigue, due to excessive numbers of alerts being presented, is the primary reason for alerts being overridden. This paper summarises and sythesises a program of research undertaken to determine whether doctors working in a teaching hospital in Sydney, Australia, were experiencing alert fatigue, and to identify and implement strategies for alleviating alert fatigue. We synthesise several published studies adopting a variety of data collection methods (observation of prescribers as they interact with the eMMS, interviews with users, review of alerts generated in eMMS, and a Delphi technique) to present four key lessons learnt. These are: 1) the fewer alerts the better; 2) context of use matters; 3) people use systems in unexpected ways; and 4) user feedback is invaluable.

Original languageEnglish
Title of host publicationInvesting in E-Health: People, Knowledge and Technology for a Healthy Future - Selected Papers from the 22nd Australian National Health Informatics Conference, HIC 2014
EditorsHeather Grain, Fernando Martin-Sanchez, Louise K. Schaper
Place of PublicationAmsterdam, Netherlands
PublisherIOS Press
Pages1-6
Number of pages6
Volume204
ISBN (Electronic)9781614994268
DOIs
Publication statusPublished - 2014
Externally publishedYes
Event22nd Australian National Health Informatics Conference, HIC 2014 - Melbourne, Australia
Duration: 11 Aug 201414 Aug 2014

Publication series

NameStudies in Health Technology and Informatics
Volume204
ISSN (Print)09269630
ISSN (Electronic)18798365

Other

Other22nd Australian National Health Informatics Conference, HIC 2014
CountryAustralia
CityMelbourne
Period11/08/1414/08/14

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Bibliographical note

Copyright the Author(s) 2014. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Cite this

Baysari, M. T., Westbrook, J. I., Richardson, K., & Day, R. O. (2014). Optimising computerised alerts within electronic medication management systems: A synthesis of four years of research. In H. Grain, F. Martin-Sanchez, & L. K. Schaper (Eds.), Investing in E-Health: People, Knowledge and Technology for a Healthy Future - Selected Papers from the 22nd Australian National Health Informatics Conference, HIC 2014 (Vol. 204, pp. 1-6). (Studies in Health Technology and Informatics; Vol. 204). Amsterdam, Netherlands: IOS Press. https://doi.org/10.3233/978-1-61499-427-5-1