Interpreting nurses' responses to clinical documentation alerts

AMIA Annu Symp Proc. 2010 Nov 13:2010:116-20.

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.

MeSH terms

  • Documentation*
  • Electronic Health Records*
  • Humans