Abstract
There is very little known about the limits of alerting in the setting of the outpatient Electronic Medical Record (EMR). We are interested in how users value and prefer such alerts. One hundred Kaiser Permanente primary care clinicians were sent a four-page questionnaire. It contained questions related to the usability and usefulness of different approaches to presenting reminder and alert information. The survey also contained questions about the desirability of six categories of alerts. Forty-three of 100 questionnaires were returned. Users generally preferred an active, more intrusive interaction model for "alerts" and a passive, less intrusive model for order messages and other types of reminders and notifications. Drug related alerts were more highly rated than health maintenance or disease state reminders. Users indicated that more alerts would make the system "more useful" but "less easy to use".
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Selected References
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- Balas E. A., Austin S. M., Mitchell J. A., Ewigman B. G., Bopp K. D., Brown G. D. The clinical value of computerized information services. A review of 98 randomized clinical trials. Arch Fam Med. 1996 May;5(5):271–278. doi: 10.1001/archfami.5.5.271. [DOI] [PubMed] [Google Scholar]
- Demakis J. G., Beauchamp C., Cull W. L., Denwood R., Eisen S. A., Lofgren R., Nichol K., Woolliscroft J., Henderson W. G. Improving residents' compliance with standards of ambulatory care: results from the VA Cooperative Study on Computerized Reminders. JAMA. 2000 Sep 20;284(11):1411–1416. doi: 10.1001/jama.284.11.1411. [DOI] [PubMed] [Google Scholar]
- Hunt D. L., Haynes R. B., Hanna S. E., Smith K. Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA. 1998 Oct 21;280(15):1339–1346. doi: 10.1001/jama.280.15.1339. [DOI] [PubMed] [Google Scholar]
- Shea S., DuMouchel W., Bahamonde L. A meta-analysis of 16 randomized controlled trials to evaluate computer-based clinical reminder systems for preventive care in the ambulatory setting. J Am Med Inform Assoc. 1996 Nov-Dec;3(6):399–409. doi: 10.1136/jamia.1996.97084513. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tierney W. M., Overhage J. M., McDonald C. J. Toward electronic medical records that improve care. Ann Intern Med. 1995 May 1;122(9):725–726. doi: 10.7326/0003-4819-122-9-199505010-00011. [DOI] [PubMed] [Google Scholar]