The role of medical records in clinical decision-making

Review

Authors

  • Hamad Hassan Mohammed Alonayzan KSA, National Guard Health Affairs
  • ‏Talal Sanian Salem Alenezi ‏KSA, National Guard Health Affairs
  • ‏Khalaf Saud Faryhan Alshammari ‏KSA, National Guard Health Affairs
  • ‏Mohammed Saad Bakr Albakr ‏KSA, National Guard Health Affairs
  • ‏Sanad Hamdan Sanad Alshammari ‏KSA, National Guard Health Affairs
  • ‏Saleh Obaid Abdullah Alghadeer ‏KSA, National Guard Health Affairs
  • ‏Nezar Mohammad Mutlaq Alshammari ‏KSA, National Guard Health Affairs
  • ‏Fahad Khalifah Salem Almughamis ‏KSA, National Guard Health Affairs
  • ‏Nuri Rawafa Alanzi ‏KSA, National Guard Health Affairs
  • ‏Abdullah Ibrahim Hamran ‏KSA, National Guard Health Affairs
  • ‏Fawaz Ayed Al-Sharari KSA, National Guard Health Affairs
  • Ahmed Turki Alotaibi KSA, National Guard Health Affairs
  • Awad Shehab B Alanzi KSA, National Guard Health Affairs

Keywords:

Decision Support Systems, Clinical Governance, Alert Fatigue, Clinical Information Systems, Electronic Medical Records

Abstract

Background: Clinical decision support (CDS) is a crucial component of electronic medical record (EMR) and provider order entry (CPOE) systems in hospitals. However, research shows conflicting findings due to factors like alert fatigue, design, and usability issues. Drug safety alerts are disregarded in 49%-96% of cases, and irrelevant alerts hinder acceptance. Enhancing alerts is needed to improve efficacy and acceptability while mitigating fatigue issues. Aim of Work: The objective is to analyze and condense the existing internal governance procedures used by hospitals, as documented in literature, for the purpose of choosing, enhancing, and assessing clinical decision support (CDS) alerts, with the aim of identifying successful strategies. Methods: A comprehensive search was conducted across many databases including Medline, Embase, CINAHL, Scopus, Web of Science, IEEE Xplore Digital Library, CADTH, and WorldCat. All English-language papers that documented governance methods for the selection and/or optimization of CDS alerts in hospitals were considered. Results: The review included a total of eight manuscripts. Seven publications particularly addressed medication-related clinical decision support (CDS) alerts. All studies detailed the use of a multidisciplinary committee to enhance the effectiveness of warnings.

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Published

2023-12-15

How to Cite

Alonayzan, H. H. M., Alenezi, ‏Talal S. S., Alshammari, ‏Khalaf S. F., Albakr, ‏Mohammed S. B., Alshammari, ‏Sanad H. S., Alghadeer, ‏Saleh O. A., … Alanzi, A. S. B. (2023). The role of medical records in clinical decision-making: Review. Tennessee Research International of Social Sciences, 5(2), 10–18. Retrieved from http://triss.org/index.php/journal/article/view/44

Issue

Vol. 5 No. 2: July-December 2023

Section

Research Articles

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