Theme 3: Technology & Tools Supporting Safer Diagnosis
Joseph, A. L., Borycki, E. M., & Kursniruk, A. W. (2021). Alert fatigue and errors caused by technology: A scoping review and introduction to the flow of cognitive processing model. Knowledge Management & E-Learning: An International Journal, 500–521. https://doi.org/10.34105/j.kmel.2021.13.027
This scoping review examines how alert fatigue, caused by excessive digital notifications, leads to clinical errors, and introduces the “flow of cognitive processing” model. It helps nurses understand the cognitive overload caused by constant alerts and promotes safer diagnosis practices. Nurses can use this information to advocate for better alert systems and reduce cognitive fatigue during patient monitoring and record-keeping.
Scalia, P., Ahmad, F., Schubbe, D., Forcino, R., Durand, M.-A., Barr, P. J., & Elwyn, G. (2021). Integrating Option Grid Patient Decision AIDS in the EPIC Electronic Health Record: Case Study at 5 Health Systems. Journal of Medical Internet Research, 23(5). https://doi.org/10.2196/22766
This article explores the integration of Option Grid decision aids into the EPIC electronic health record system, aiming to improve shared decision-making and clinical efficiency. It helps nurses engage patients in informed decision-making, enhancing patient education and care coordination. Nurses can use this resource to facilitate patient discussions, ensuring decisions align with both clinical evidence and patient preferences, while also providing feedback on system implementation.
Sutton, R. T., Pincock, D., Baumgart, D. C., Sadowski, D. C., Fedorak, R. N., & Kroeker, K. I. (2020). An overview of clinical decision support systems: Benefits, risks, and strategies for Success. Npj Digital Medicine, 3(1). https://doi.org/10.1038/s41746-020-0221-y
This article provides an overview of clinical decision support systems (CDSS), highlighting their benefits in improving diagnosis, reducing errors, and enhancing care efficiency. Nurses can leverage CDSS for better decision-making during medication administration, monitoring, and assessments, improving patient safety. Nurses can apply this knowledge to optimize CDSS use by filtering relevant alerts and advocating for system improvements.