Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity with Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics

Sandra L. Kane-Gill, Michael F. O'Connor, Jeffrey M. Rothschild, Nicholas M. Selby, Barbara McLean, Christopher P. Bonafide, Maria M. Cvach, Xiao Hu, Avinash Konkani, Michele M. Pelter, Bradford D Winters

Research output: Contribution to journalArticle

Abstract

Objective: To provide ICU clinicians with evidence-based guidance on tested interventions that reduce or prevent alert fatigue within clinical decision support systems. Design: Systematic review of PubMed, Embase, SCOPUS, and CINAHL for relevant literature from 1966 to February 2017. Patients: Focus on critically ill patients and included evaluations in other patient care settings, as well. Interventions: Identified interventions designed to reduce or prevent alert fatigue within clinical decision support systems. Measurements and Main Results: Study selection was based on one primary key question to identify effective interventions that attempted to reduce alert fatigue and three secondary key questions that covered the negative effects of alert fatigue, potential unintended consequences of efforts to reduce alert fatigue, and ideal alert quantity. Data were abstracted by two reviewers independently using a standardized abstraction tool. Surveys, meeting abstracts, "gray" literature, studies not available in English, and studies with non-original data were excluded. For the primary key question, articles were excluded if they did not provide a comparator as key question 1 was designed as a problem, intervention, comparison, and outcome question. We anticipated that reduction in alert fatigue, including the concept of desensitization may not be directly measured and thus considered interventions that reduced alert quantity as a surrogate marker for alert fatigue. Twenty-six articles met the inclusion criteria. Conclusion: Approaches for managing alert fatigue in the ICU are provided as a result of reviewing tested interventions that reduced alert quantity with the anticipated effect of reducing fatigue. Suggested alert management strategies include prioritizing alerts, developing sophisticated alerts, customizing commercially available alerts, and including end user opinion in alert selection. Alert fatigue itself is studied less frequently, as an outcome, and there is a need for more precise evaluation. Standardized metrics for alert fatigue is needed to advance the field. Suggestions for standardized metrics are provided in this document.

Original languageEnglish (US)
Pages (from-to)1481-1488
Number of pages8
JournalCritical Care Medicine
Volume45
Issue number9
DOIs
StatePublished - Sep 1 2017

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Fatigue
Clinical Decision Support Systems
PubMed
Critical Illness
Patient Care
Biomarkers

Keywords

  • alert burden
  • alert fatigue
  • clinical decision support systems
  • critical care
  • electronic health records
  • intensive care unit

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Technologic Distractions (Part 1) : Summary of Approaches to Manage Alert Quantity with Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. / Kane-Gill, Sandra L.; O'Connor, Michael F.; Rothschild, Jeffrey M.; Selby, Nicholas M.; McLean, Barbara; Bonafide, Christopher P.; Cvach, Maria M.; Hu, Xiao; Konkani, Avinash; Pelter, Michele M.; Winters, Bradford D.

In: Critical Care Medicine, Vol. 45, No. 9, 01.09.2017, p. 1481-1488.

Research output: Contribution to journalArticle

Kane-Gill, SL, O'Connor, MF, Rothschild, JM, Selby, NM, McLean, B, Bonafide, CP, Cvach, MM, Hu, X, Konkani, A, Pelter, MM & Winters, BD 2017, 'Technologic Distractions (Part 1): Summary of Approaches to Manage Alert Quantity with Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics', Critical Care Medicine, vol. 45, no. 9, pp. 1481-1488. https://doi.org/10.1097/CCM.0000000000002580
Kane-Gill, Sandra L. ; O'Connor, Michael F. ; Rothschild, Jeffrey M. ; Selby, Nicholas M. ; McLean, Barbara ; Bonafide, Christopher P. ; Cvach, Maria M. ; Hu, Xiao ; Konkani, Avinash ; Pelter, Michele M. ; Winters, Bradford D. / Technologic Distractions (Part 1) : Summary of Approaches to Manage Alert Quantity with Intent to Reduce Alert Fatigue and Suggestions for Alert Fatigue Metrics. In: Critical Care Medicine. 2017 ; Vol. 45, No. 9. pp. 1481-1488.
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