Adaptation | Rationale |
---|---|
Alert #3 fires only for patients with an ESI of 1, 2 or 3 | Resulted from provider feedback regarding the lack of utility of this firing on lower acuity patients. |
If a palliative care consultation was already placed, Alert #3 does not fire | Amended to reduce the redundancy of orders. |
Update all three alerts to fire for all the providers on the ED care team | Goal was to notify each of the providers on the ED care team instead of for example, only the attending provider. |
Discontinue all three alerts from firing for providers that are not part of the ED care team (e.g. consultants) | Amended to target the right provider. |
Update all three alerts to fire only once for each ED provider | Amended to reduce the redundancy of alert firing. |
Firing of Alert #1 and Alert #3 changed from T + 60 min to T + 90 min after ED arrival | Based on provider feedback recommending firing later to allow sufficient time for patient evaluation and analysis of lab results. |
Removal of “previous discharge disposition to nursing home” and “GFR < 15 ml/min/m2” from criteria for Alert #3 | Based on dashboard feedback, these two criteria led to the most frequent firing and thus, these two were removed to increase alert specificity. |
Suspension of Alert #3 | Based on negative comments and over-firing, the decision was made to suspend this alert. |