This panel highlights 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
AMIA
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In this panel, we describe some of our most inglorious misfires as case vignettes in clinical decision support (CDS) implementation to share hard-earned lessons organized into 8 sociotechnical dimensions.
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.