Incorporation of end-user feedback into CDS monitoring, evaluation, and remediation is a way to improve CDS. Additionally, end users appreciate knowing their feedback is being received and may also make other suggestions to improve the electronic health record. Through four case studies, we describe our use of end-user feedback to rapidly respond to build errors, as well as identifying inaccurate knowledge management, user-interface issues, and unique workflows.įeedback on CDS tools can be solicited in multiple ways, and it contains valuable and actionable suggestions to improve CDS alerts.

tool enables the creation of interactive flows for training and support. The two sites received 2,639 Likert feedback comments and 623,270 override comments over a 30-month period. Knowledge Management and Analytics Real-time monitoring and recording of flow. Rural providers in BC (physicians, midwives, residents, nurse practitioners, nurses etc.) can connect with on-call Real-Time Virtual Support (RTVS) peer. Both systems are monitored daily by clinical informatics teams. At both sites, users could provide feedback by using Likert feedback links embedded in all end-user facing alerts, with results stored outside the electronic health record, and provide feedback as a comment when they overrode an alert. Two organizations implemented similar real-time feedback tools and processes in their electronic health record and gathered data over a 30-month period. To improve clinical decision support (CDS) by allowing users to provide real-time feedback when they interact with CDS tools and by creating processes for responding to and acting on this feedback.

Realtimes support