Targeted Reduction of Interruptive Clinical Alerts

Thursday, April 20 at 2:15 PM - 2:45 PM CT
South Building, Level 1 | S104
Clinical decision support in the EHR is intended to highlight pertinent, actionable information about the patient to the clinical team. Over time, our reliance on decision support tools, particularly interruptive pop-up alerts, has increased to cover not only highly important information but also reminders and tasks to be completed. This shift slowly makes these alerts counterproductive and contributes to alert fatigue. To combat this and make these alerts relevant and purposeful again, the informatics team at Lurie Children's took on an effort to refine the approach around interruptive alerts. Anchored in the five rights of decision support, the team developed a plan to review top firing interruptive pop-ups and turned them into clear, actionable alerts. By the end of the fiscal year, an overall reduction of 54% of firing was achieved when compared to the same time in the previous year. With guiding principles and a sustainment plan in place, the team continues to monitor existing alerts and applies these new principles to incoming requests to keep alerts appropriate and actionable.

Learning Objectives

  • Identify characteristics of an effective clinical decision support tool, anchored in the five rights of clinical decision support
  • Formulate a clear plan to prioritize most interruptive alerts contributing to alert fatigue with guiding principles to drive improvement and shift in the purpose of alerts
  • Develop clear, data driven and attainable metrics that demonstrate a sustainable improvement
Clinical Informaticist, CMIO/CMO, Information Management Professional


Agata Nytko
Manager Improvement Consulting
Ann & Robert H. Lurie Children's Hospital of Chicago
Patrick Lyons, MD
Pediatric Hospitalist and Clinical Informaticist
Ann & Robert H. Lurie Children's Hospital of Chicago