@文章{信息:doi/10.2196/40511，作者=“Park, hyjung和Chae, Minjung Kathy和Jeong, Woohyeon和Yu, Jaeyong和Jung, Weon和Chang, Hansol和Cha, Won Chul”，标题=“与药物相关的临床决策支持系统的警报和医生反应的适当性:回顾性观察研究”，期刊=“JMIR Med Inform”，年=“2022”，月=“10”，日=“4”，卷=“10”，数=“10”，页数=“e40511”，关键词=“临床决策支持系统;计算机医嘱录入;警惕疲劳;卫生人员;决策支持;医生行为;医生反应;alert system"， abstract="背景:当少量有用警报产生大量无关警报时，警报疲劳是不可避免的。了解医生的反应是提高临床决策支持系统(CDSS)有效性的必要条件。目的:本研究旨在通过评估与药物相关的被动警报系统中警报的临床适当性和相应的医生的反应，了解CDSS和医生行为。 Methods: Data on medication-related orders, alerts, and patients' electronic medical records were analyzed. The analyzed data were generated between August 2019 and June 2020 while the patient was in the emergency department. We evaluated the appropriateness of alerts and physicians' responses for a subset of 382 alert cases and classified them. Results: Of the 382 alert cases, only 7.3{\%} (n=28) of the alerts were clinically appropriate. Regarding the appropriateness of the physicians' responses about the alerts, 92.4{\%} (n=353) were deemed appropriate. In the classification of alerts, only 3.4{\%} (n=13) of alerts were successfully triggered, and 2.1{\%} (n=8) were inappropriate in both alert clinical relevance and physician's response. In this study, the override rate was 92.9{\%} (n=355). Conclusions: We evaluated the appropriateness of alerts and physicians' responses through a detailed medical record review of the medication-related passive alert system. An excessive number of unnecessary alerts are generated, because the algorithm operates as a rule base without reflecting the individual condition of the patient. It is important to maximize the value of the CDSS by comprehending physicians' responses. ", issn="2291-9694", doi="10.2196/40511", url="https://medinform.www.mybigtv.com/2022/10/e40511", url="https://doi.org/10.2196/40511", url="http://www.ncbi.nlm.nih.gov/pubmed/36194461" }