An overview of clinical decision support systems: benefits, risks, and strategies for success

RT Sutton, D Pincock, DC Baumgart… - NPJ digital …, 2020 - nature.com
Computerized clinical decision support systems, or CDSS, represent a paradigm shift in
healthcare today. CDSS are used to augment clinicians in their complex decision-making …

Reducing alert burden in electronic health records: state of the art recommendations from four health systems

JD McGreevey III, CP Mallozzi… - Applied clinical …, 2020 - thieme-connect.com
Background Electronic health record (EHR) alert fatigue, while widely recognized as a
concern nationally, lacks a corresponding comprehensive mitigation plan. Objectives The …

[HTML][HTML] Appropriateness of overridden alerts in computerized physician order entry: systematic review

TN Poly, MM Islam, HC Yang, YC Li - JMIR medical informatics, 2020 - medinform.jmir.org
Background The clinical decision support system (CDSS) has become an indispensable tool
for reducing medication errors and adverse drug events. However, numerous studies have …

[HTML][HTML] Improving the safety of health information technology requires shared responsibility: It is time we all step up

DF Sittig, E Belmont, H Singh - Healthcare, 2018 - Elsevier
Abstract In 2011, an Institute of Medicine report on health information technology (IT) and
patient safety highlighted that building health-IT for safer use is a shared responsibility …

Prevalence and differences in the co-administration of drugs known to interact: an analysis of three distinct and large populations

J Sánchez-Valle, RB Correia, M Camacho-Artacho… - BMC medicine, 2024 - Springer
Background The co-administration of drugs known to interact greatly impacts morbidity,
mortality, and health economics. This study aims to examine the drug–drug interaction (DDI) …

Improving medication-related clinical decision support

CL Tolley, SP Slight, AK Husband… - The Bulletin of the …, 2018 - academic.oup.com
Purpose Current uses of medication-related clinical decision support (CDS) and
recommendations for improving these systems are reviewed. Summary Using a systematic …

The appropriateness of clinical decision support systems alerts in supporting clinical workflows: a systematic review

OO Olakotan, M Mohd Yusof - Health Informatics Journal, 2021 - journals.sagepub.com
A CDSS generates a high number of inappropriate alerts that interrupt the clinical workflow.
As a result, clinicians silence, disable, or ignore alerts, thereby undermining patient safety …

Clinician collaboration to improve clinical decision support: the Clickbusters initiative

AB McCoy, EM Russo, KB Johnson… - Journal of the …, 2022 - academic.oup.com
Abstract Objective We describe the Clickbusters initiative implemented at Vanderbilt
University Medical Center (VUMC), which was designed to improve safety and quality and …

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework

H Singh, DF Sittig - Annals of Internal Medicine, 2020 - acpjournals.org
Electronic health record (EHR)–based interventions to improve patient safety are complex
and sensitive to who, what, where, why, when, and how they are delivered. Success or …

Evaluation of potential drug–drug interactions in adults in the intensive care unit: a systematic review and meta-analysis

MG Fitzmaurice, A Wong, H Akerberg, S Avramovska… - Drug safety, 2019 - Springer
Introduction There is an increased risk of potential drug–drug interactions (pDDIs) in
critically ill patients based on the number of drugs received. The occurrence of pDDIs and …