The Elements of Style for Interruptive Electronic Health Record Alerts.

IF 2.1 2区医学 Q4 MEDICAL INFORMATICS Applied Clinical Informatics Pub Date : 2024-12-31 DOI:10.1055/a-2508-7039

Jessica Pourian, Charumathi Subramanian, Catherine Blebea, Andrew D Auerbach, Raman Khanna

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Abstract

Background: The proliferation of electronic health record (EHR) alerts has led to widespread alert fatigue and clinician burnout, undermining the effectiveness of clinical decision support and compromising patient safety.

Objective: We introduce a comprehensive style guide for designing interruptive alerts (IAs) in EHR systems to improve clinician engagement and reduce alert fatigue that has been approved by our institutional alert governance committees. This style guide addresses critical aspects of IAs, including format, typography, color-coding, title brevity, patient identification, and introductory text. It also outlines the use of typographic emphasis, response options, default actions, and opt-out mechanisms, emphasizing the need for clear, concise, and actionable alerts that consider clinician workflow and cognitive burden.

Discussion: A standardized style guide for IAs can enhance clinician experience and clinical outcomes by reducing alert fatigue. Incorporating feedback and continuous evaluation of alert effectiveness is essential for maintaining relevance and supporting patient care within a dynamic clinical environment.

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中断性电子健康记录警报的风格要素》（The Elements of Style for Interruptive Electronic Health Record Alerts）。

背景：电子健康记录（EHR）警报的激增导致了广泛的警报疲劳和临床医生的职业倦怠，破坏了临床决策支持的有效性并危及患者安全。目的：我们介绍了一个全面的风格指南，用于在EHR系统中设计中断警报（IAs），以提高临床医生的参与度，减少警报疲劳，该指南已被我们的机构警报治理委员会批准。本风格指南涉及IAs的关键方面，包括格式、排版、颜色编码、标题简洁性、患者识别和介绍性文本。它还概述了排版重点、响应选项、默认操作和选择退出机制的使用，强调了考虑到临床医生工作流程和认知负担的清晰、简明和可操作警报的必要性。讨论：IAs的标准化风格指南可以通过减少警觉性疲劳来提高临床医生的经验和临床结果。结合反馈和警报有效性的持续评估对于在动态临床环境中保持相关性和支持患者护理至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Clinical Informatics MEDICAL INFORMATICS-

CiteScore

4.60

自引率

24.10%

发文量

132

期刊介绍： ACI is the third Schattauer journal dealing with biomedical and health informatics. It perfectly complements our other journals Öffnet internen Link im aktuellen FensterMethods of Information in Medicine and the Öffnet internen Link im aktuellen FensterYearbook of Medical Informatics. The Yearbook of Medical Informatics being the “Milestone” or state-of-the-art journal and Methods of Information in Medicine being the “Science and Research” journal of IMIA, ACI intends to be the “Practical” journal of IMIA.