Designing Interactive Alerts to Improve Recognition of Critical Events in Medical Emergencies

Investigating Why Clinicians Deviate from Standards of Care: Liberating Patients from Mechanical Ventilation in the ICU

“…Other research studied workflows around specific tasks, such as how physicians and nurses form volume therapy decisions [50] or how nurses document patient notes and their workarounds to understand the limitations of electronic health records (EHR) [29]. Building on this understanding of clinical practice, researchers designed and evaluated the use of new technical systems to support documentation and note-taking [108], reduce alert fatigue and interruptions [67,97], and support patient handovers [93]. In the same spirit, our work seeks to understand the clinical workflows of nurses and RTs around WUB to inform the design of future technologies.…”

“…Prior HCI research has explored how EHR systems influence protocol adherence [52,79], and developed systems to support the use of clinical guidelines in the form of digital checklists (e.g., trauma resuscitation [59,60,68]), treatment recommendations (e.g., providing clinical guidelines for pneumonia [49], sepsis [95], and cancer [11]), and guideline-specific dashboards (e.g., displaying a list of patients that qualify for a protocol [4]). While helpful in operationalizing broad best-practice guidelines, these approaches are often limited at the bedside as they do not account for patient-level variation [58].…”

“…Our findings point out that guidelines can remain too high-level, leading to ambiguities in successful execution. Building on the large body of literature on medical checklists [59,68], we see opportunities creating team-based, shared WUB plans that allow clinicians to set goals as a team -a critical aspect for improved care coordination [2]. Future research should explore how clinical guidelines can be designed in a way that allows clinicians to customize, adapt, and add more granularity onto existing guidelines to operationalize them in their specific clinical context (e.g., offering clarity on what sedatives suppress the respiratory system, highlighting the ones a specific patient is receiving, and nudging nurses to cut sedation completely rather than reducing it).…”

Decision Fatigue in Emergency Medicine: An Exploration of Its Validity

“…Alert systems: Utilizing alert systems for critical situations, such as sepsis or medication interactions, can prompt timely decisions, reducing the cognitive burden of detecting these issues [ 47 ].…”