The appropriateness of clinical decision support systems alerts in supporting clinical workflows: A systematic review

A CDSS generates a high number of inappropriate alerts that interrupt the clinical workflow. As result, clinicians silence, disable, or ignore alerts, thereby undermining patient safety. Therefore, effectiveness and appropriateness need to be evaluated. systematic review was carried out identify factors affect alert in supporting Seven electronic databases (PubMed, Scopus, ACM, Science Direct, IEEE, Ovid Medline, Ebscohost) were searched for English language articles published between 1997 2018. Seventy six papers met inclusion criteria, which 26, 24, 15, 11 are retrospective cohort, qualitative, quantitative, mixed-method studies, respectively. The highlights various influencing efficiencies alerts. These categorized into technology, human, organization, process aspects using combination approaches, including socio-technical framework, five rights CDSS, Lean. Most not properly designed based on human factor methods principles, explaining overrides practices. identified recommendations from may offer valuable insights how can appropriately support