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The California Joint Replacement Registry collects data on device efficacy, surgical techniques, and patient outcomes for hip and knee replacements. A new report details how this CHCF-sponsored effort is faring.
Clearly alert fatigue is real, and there needs to be an attempt to find that "sweet spot" between over- and under-alerting such that patient harm is minimized. EHRs typically license medication and medication interaction databases from external content vendors. This same content exists (along with the same warnings / alerts) whether or not they are embedded in the EHR, available via manual inputting to a separate online app, or contained in print in a large reference book. The duty to the patient re medication safety is the same - whether or not the information / alerts are viewed and acted upon, viewed and ignored, or never viewed.EHRs allow for viewing of such content / warnings without double entry or without consulting a reference text. EHRs can (and currently often do not)further enhance that experience by allowing for filtered views. The fix to this problem starts with "fixing" medication interaction reference materials - and then "fixing" EHR filtered views.
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