TY - GEN
T1 - Physicians bypass enrollment suggestions into a clinical reminders intervention
AU - Vashitz, Geva
AU - Gilutz, Harel
AU - Meyer, Joachim
PY - 2009/1/1
Y1 - 2009/1/1
N2 - While clinical reminders can promote adherence with evidence-based clinical guidelines, they may have unintended consequences such as alert fatigue, false alarms and increased workload, which cause clinicians to ignore them. We evaluated clinicians' response rates to suggestions to enroll patients in a nationwide clinical reminders intervention, aiming to promote prevention of clinical arthrosclerosis. Analysis of 203,164 suggestions for 108,636 patients showed that the clinicians mostly ignored suggestions from the system and followed only 21.4% of the inclusion suggestions. The data show that when physicians could choose for which patients the reminders will be generated, they mostly chose not to include patients in the clinical reminders intervention. It seems that they tried to abort the process as soon as possible, rather than complete the workflow orderly. Insights regarding the usability of clinical reminders are discussed.
AB - While clinical reminders can promote adherence with evidence-based clinical guidelines, they may have unintended consequences such as alert fatigue, false alarms and increased workload, which cause clinicians to ignore them. We evaluated clinicians' response rates to suggestions to enroll patients in a nationwide clinical reminders intervention, aiming to promote prevention of clinical arthrosclerosis. Analysis of 203,164 suggestions for 108,636 patients showed that the clinicians mostly ignored suggestions from the system and followed only 21.4% of the inclusion suggestions. The data show that when physicians could choose for which patients the reminders will be generated, they mostly chose not to include patients in the clinical reminders intervention. It seems that they tried to abort the process as soon as possible, rather than complete the workflow orderly. Insights regarding the usability of clinical reminders are discussed.
UR - http://www.scopus.com/inward/record.url?scp=77951595229&partnerID=8YFLogxK
U2 - 10.1518/107118109x12524442636346
DO - 10.1518/107118109x12524442636346
M3 - Conference contribution
AN - SCOPUS:77951595229
SN - 9781615676231
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 640
EP - 644
BT - 53rd Human Factors and Ergonomics Society Annual Meeting 2009, HFES 2009
PB - Human Factors an Ergonomics Society Inc.
T2 - 53rd Human Factors and Ergonomics Society Annual Meeting 2009, HFES 2009
Y2 - 19 October 2009 through 23 October 2009
ER -