Physicians bypass enrollment suggestions into a clinical reminders intervention

Geva Vashitz, Harel Gilutz, Joachim Meyer

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

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.

Original languageEnglish
Title of host publication53rd Human Factors and Ergonomics Society Annual Meeting 2009, HFES 2009
PublisherHuman Factors an Ergonomics Society Inc.
Pages640-644
Number of pages5
ISBN (Print)9781615676231
DOIs
StatePublished - 2009
Externally publishedYes
Event53rd Human Factors and Ergonomics Society Annual Meeting 2009, HFES 2009 - San Antonio, TX, United States
Duration: 19 Oct 200923 Oct 2009

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume1
ISSN (Print)1071-1813

Conference

Conference53rd Human Factors and Ergonomics Society Annual Meeting 2009, HFES 2009
Country/TerritoryUnited States
CitySan Antonio, TX
Period19/10/0923/10/09

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