0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Toward Electronic Medical Record Alerts That Consume Less Physician Time

Clement J. McDonald, MD1
[+] Author Affiliations
1Lister Hill National Center for Biomedical Communications, National Library of Medicine, National Institutes of Health (NIH), US Department of Health & Human Services (HHS), Bethesda, Maryland
JAMA Intern Med. 2013;173(18):1755-1756. doi:10.1001/jamainternmed.2013.9332.
Text Size: A A A
Published online

Extract

To the Editor In a series of beautiful studies, Singh and colleagues have described the nature and quantified the effects of electronic medical record (EMR) alerts on care process. Primary care providers (PCPs) report in a survey instrument that almost half of the asynchronous (e-mail–like) alerts from the Department of Veterans Affairs (VA’s) EMR were irrelevant to patient care, excessive in number,1 and more than they could manage, making it possible to miss test results. In another study, they observed that PCPs received a median of 63 such alerts requiring 50 minutes of their time per clinic day,2 not counting synchronous alerts about, for example, drug interactions, that are even less specific.3 The VA’s EMR probably has the most sophisticated tools for minimizing abnormal test alerts in the market. Radiologists, while reading their studies, inform the PCPs about important abnormal findings through alerts, and PCPs can suppress some kinds of alerts at will. “Excessive” alerts are a problem with almost all EMRs4 owing in part to well-intentioned policies that require special attention for every possible signal that might indicate a problem regardless of its specificity and to the use of alerts for administrative purposes. However, if everything is important, then nothing is.5

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

October 14, 2013
Hardeep Singh, MD, MPH; Dean F. Sittig, PhD
1Department of Medicine, Baylor College of Medicine, Houston VA Health Services Research and Development (HSR&D) Center of Excellence Center of Excellence, Michael E. DeBakey Veterans Affairs Medical Center, and the Section of Health Services Research, Houston, Texas
2University of Texas School of Biomedical Informatics and the University of Texas–Memorial Hermann Center for Healthcare Quality and Safety, Houston
JAMA Intern Med. 2013;173(18):1756. doi:10.1001/jamainternmed.2013.9317.
CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Jobs
brightcove.createExperiences();