Interpreting nurses' responses to clinical documentation alerts

Academic Article

Abstract

  • OBJECTIVE: To understand how nurses respond to alerts that detect attempts to enter into electronic health records patient weights that vary significantly from previously recorded weights.METHODS: Examination of subsequent patient weights to determine if the alerts were true positive (TP) or false positive (FP), and whether nurses overrode alerts, changed their entry or quit without storing a value.RESULTS: Alerts occurred 2.74%, with 41.9% TP and 58.1% FP. Nurses overrode 30.3% of TP and 97.3% of FP alerts.CONCLUSIONS: The alert has an acceptable FP rate and does not appear to cause nurses to change entries to satisfy the alert. The alert improves recording of patient weights.
  • Author List

  • Cimino JJ; Farnum L; Cochran K; Moore SD; Sengstack PP; McKeeby JW
  • Start Page

  • 116
  • End Page

  • 120
  • Volume

  • 2010