Lack of training |
Providers that did not receive original academic detailing never tried tool. |
Additional academic detailing |
Alert fatigue/lack of sensitivity |
Lack of specificity in symptom (e.g., cough) yields lack of specificity with regard to firing of tool. |
None identified |
Workflow barriers |
Triggered too early in the process, especially if patient had multiple issues (unaware they could retrieve tool). |
Methods to return to tools covered in repeat academic detailing |
Added burden |
Tool is “one more thing” to do during visits. |
Click counts examined, further reductions deemed not possible |
Lack of buy-in/tool not useful |
Providers familiar with criteria so stopped using/tool did not change how care was provided. After using it providers are comfortable with the criteria so do not need to use it. |
None identified |