Better Decisions. Better Health for Kids.
Papers

CDS RoundUp: Exterminating Roaches in Clinical Decision Support

Published

Lindsey A Knake, MD, MS 1, Leonid Bederman, MD 2, Adam Dziorny, MD, PhD 3, Allison B. McCoy, PhD 4, Eric Kirkendall, MD 5

Abstract

Clinical decision support (CDS) can improve clinical quality and safety through error prevention, just-in-time education, and integration of evidence-based medicine into existing workflow. However, even the most well-designed CDS tools can fail to achieve their intended goal, have adverse or unintended consequences, and risk contributing to alert fatigue, cognitive weariness, and burnout. It is critical for informaticists to develop and maintain a robust CDS stewardship framework to prevent infestation. This panel will highlight some of the Pediatric CDS Collaborative’s most ignominious CDS roaches – hard to kill tools that far outlived their utility – to share hard earned lessons and successes organized as roach facts

Affiliations

  1. University of Iowa, Iowa City, IA
  2. Duke University, Durham, NC
  3. University of Rochester, Rochester, NY
  4. Vanderbilt University, Nashville, TN
  5. Wake Forest University, Winston-Salem, NC

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Pediatric Clinical Decision Support Collaborative: Benchmarking Across Institutions to Measure and Manage Alert Burden
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Pediatric Clinical Decision Support Collaborative: Benchmarking Across Institutions to Measure and Manage Alert Burden

We discuss benefits and challenges in developing a pediatric learning collaborative for clinical decision support benchmarking and sharing of best practices, describe the strengths and weaknesses of different approaches to alert burden measurement, demonstrate how alert prioritization can inform quality improvement initiatives to reduce alert burden, examine unique measurement challenges for non-EHR alerts such as phone calls and text messages, and discuss strategies for linking alert burden analytics to governance strategies that facilitate improvement.