Dept. of Biomedical Informatics
Oregon Health & Science University
Concern about safety and, likewise, errors in medicine exploded after the first Institute of Medicine report âTo Err is Human: building a safer health systemâ in 1999. (1) Adoption of electronic health records, computerized provider order entry, and clinical decision support was intended to make medicine safer for the patient. To this end, a plethora of clinical decision support tools have been added into record keeping and ordering systems known as electronic health records or electronic medical records. Hospitals are complex sociotechnical systems. The result of introducing CPOE and CDS depends on the individual jobs to be done, the workers, the tools, the social environment and the work rule environment. (2, 3)Outcomes of these CPOE and CDS tools have rarely been tested end to end. Individual tools for supporting computerized physician order entry have been designed, including visual and text alerts such as pop ups, soft stops, hard stops, and other attention getters. As the engine
School of Medicine
Kordek, Michael E., "Alert fatigue by other names : review of contributing fields regarding the 'cry wolf' effect" (2013). Scholar Archive. 910.