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Computerized alerts that warn clinicians
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Using REDCap to Evaluate Clinical Decision Support Alert Appropriateness

Effectively evaluating the appropriateness of clinical decision support (CDS) alerts and responses is critical to improving patient safety through health information technology. We describe the use of REDCap to create a data collection instrument for evaluating the appropriateness of CDS alerts and responses. While the tool is effective, further enhancements to REDCap would improve the process for future evaluations.

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Using REDCap to Evaluate Clinical Decision Support Alert Appropriateness

  1. 1. Computerized alerts that warn clinicians about drug interactions or provide dosing guidance are commonly implemented forms of CDS to improve patient safety. Alert overrides can hinder provider effectiveness and result in adverse patient outcomes. Few have described the processes for performing necessary detailed evaluations of the appropriateness of CDS alerts and clinician responses. Background Using REDCap to Evaluate Clinical Decision Support Alert Appropriateness Allison B. McCoy, PhD1,2, Eric J. Thomas, MD, MPH3, Marie Krousel-Wood, MD, MSPH1,2, Dean F. Sittig, PhD3 1Tulane University School of Public Health and Tropical Medicine, 2Center for Health Research, Ochsner Health System, New Orleans, LA 3The University of Texas Health Science Center at Houston, Houston, TX Based on our previously described framework for evaluating the CDS alert and response appropriateness, we developed an assessment tool using REDCap (Research Electronic Data Capture), a secure, web- based application designed to support data capture for research studies. Methods We successfully used REDCap to create a data collection instrument to facilitate evaluation of CDS alert and response appropriateness through chart review by clinicians. Further enhancements to REDCap, such as the ability to import data with dual data entry, would improve the process for future evaluations. Conclusion REDCap facilitated quick, easy development of a HIPAA-compliant data collection tool that is simple for clinicians to use. Because data importing and dual data entry could not be used together, we created data access groups for reviewers; assigned alerts a separate, unique identifier for each reviewer; then assessed agreement and merged responses outside of the REDCap system. ResultsREDCap Data Collection Instrument Effectively evaluating the appropriateness of clinical decision support (CDS) alerts and responses is critical to improving patient safety through health information technology. We describe the use of REDCap to create a data collection instrument for evaluating the CDS alert and response appropriateness. Overview This work was supported by NLM Grant 1K22LM011430-01A1, UTHealth Young Clinical and Translational Sciences Investigator Award KL2TR000370-06A1, and NCRR Grant 3UL1RR024148. Please contact the corresponding author at: amccoy1@tulane.edu Acknowledgments Scan the QR code to download the full data collection instrument!
  • tbutts2140

    Aug. 1, 2016

Effectively evaluating the appropriateness of clinical decision support (CDS) alerts and responses is critical to improving patient safety through health information technology. We describe the use of REDCap to create a data collection instrument for evaluating the appropriateness of CDS alerts and responses. While the tool is effective, further enhancements to REDCap would improve the process for future evaluations.

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