Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review | Zendy

Emily Powers | Zendy; Richard N. Shiffman | Zendy; Edward R. Melnick | Zendy; Andy Hickner | Zendy; Mona Sharifi | Zendy

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Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review

Author(s) -

Emily Powers,

Richard N. Shiffman,

Edward R. Melnick,

Andy Hickner,

Mona Sharifi

Publication year - 2018

Publication title -

journal of the american medical informatics association

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.614

H-Index - 150

eISSN - 1527-974X

pISSN - 1067-5027

DOI - 10.1093/jamia/ocy112

Subject(s) - workflow , unintended consequences , health care , patient safety , process (computing) , clinical decision support system , computer science , medicine , internet privacy , decision support system , data mining , law , political science , database , economics , economic growth , operating system

Clinical decision support (CDS) hard-stop alerts-those in which the user is either prevented from taking an action altogether or allowed to proceed only with the external override of a third party-are increasingly common but can be problematic. To understand their appropriate application, we asked 3 key questions: (1) To what extent are hard-stop alerts effective in improving patient health and healthcare delivery outcomes? (2) What are the adverse events and unintended consequences of hard-stop alerts? (3) How do hard-stop alerts compare to soft-stop alerts?

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