keyword
MENU ▼
Read by QxMD icon Read
search

alert fatigue

keyword
https://www.readbyqxmd.com/read/29623186/trigger-alerts-associated-with-laboratory-abnormalities-on-identifying-potentially-preventable-adverse-drug-events-in-the-intensive-care-unit-and-general-ward
#1
Mitchell S Buckley, Jeffrey R Rasmussen, Dale S Bikin, Emily C Richards, Andrew J Berry, Mark A Culver, Ryan M Rivosecchi, Sandra L Kane-Gill
Background: Medication safety strategies involving trigger alerts have demonstrated potential in identifying drug-related hazardous conditions (DRHCs) and preventing adverse drug events in hospitalized patients. However, trigger alert effectiveness between intensive care unit (ICU) and general ward patients remains unknown. The objective was to investigate trigger alert performance in accurately identifying DRHCs associated with laboratory abnormalities in ICU and non-ICU settings. Methods: This retrospective, observational study was conducted at a university hospital over a 1-year period involving 20 unique trigger alerts aimed at identifying possible drug-induced laboratory abnormalities...
April 2018: Therapeutic Advances in Drug Safety
https://www.readbyqxmd.com/read/29609728/the-risk-of-fatigue-and-sleepiness-in-the-ridesharing-industry-an-american-academy-of-sleep-medicine-position-statement
#2
Michael Berneking, Ilene M Rosen, Douglas B Kirsch, Ronald D Chervin, Kelly A Carden, Kannan Ramar, R Nisha Aurora, David A Kristo, Raman K Malhotra, Jennifer L Martin, Eric J Olson, Carol L Rosen, James A Rowley, Indira Gurubhagavatula
The ridesharing-or ride-hailing-industry has grown exponentially in recent years, transforming quickly into a fee-for-service, unregulated taxi industry. While riders are experiencing the benefits of convenience and affordability, two key regulatory and safety issues deserve consideration. First, individuals who work as drivers in the ridesharing industry are often employed in a primary job, and they work as drivers during their "off" time. Such a schedule may lead to driving after extended periods of wakefulness or during nights, both of which are factors that increase the risk of drowsy driving accidents...
March 30, 2018: Journal of Clinical Sleep Medicine: JCSM: Official Publication of the American Academy of Sleep Medicine
https://www.readbyqxmd.com/read/29607220/remember-the-drive-home-an-assessment-of-emergency-providers-sleep-deficit
#3
Brian A Ferguson, Hugh W Shoff, Jennifer E McGowan, Martin R Huecker
Objective: Sleep deprivation decreases work performance and predisposes workers to deleterious health outcomes. We sought to evaluate sleep hygiene and fatigue among emergency physicians. Methods: In March-June 2016, physicians and residents at an academic emergency medicine program were invited to complete a survey evaluating sleep and alertness. Results: Six attending physicians and 26 residents completed the survey. Among six personal priorities, sleep ranked fourth behind family, work, and leisure...
2018: Emergency Medicine International
https://www.readbyqxmd.com/read/29599299/identification-of-patients-expected-to-benefit-from-electronic-alerts-for-acute-kidney-injury
#4
Aditya Biswas, Chirag R Parikh, Harold I Feldman, Amit X Garg, Stephen Latham, Haiqun Lin, Paul M Palevsky, Ugochukwu Ugwuowo, F Perry Wilson
BACKGROUND AND OBJECTIVES: Electronic alerts for heterogenous conditions such as AKI may not provide benefit for all eligible patients and can lead to alert fatigue, suggesting that personalized alert targeting may be useful. Uplift-based alert targeting may be superior to purely prognostic-targeting of interventions because uplift models assess marginal treatment effect rather than likelihood of outcome. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This is a secondary analysis of a clinical trial of 2278 adult patients with AKI randomized to an automated, electronic alert system versus usual care...
March 29, 2018: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/29571975/asleep-at-the-automated-wheel-sleepiness-and-fatigue-during-highly-automated-driving
#5
Tobias Vogelpohl, Matthias Kühn, Thomas Hummel, Mark Vollrath
Due to the lack of active involvement in the driving situation and due to monotonous driving environments drivers with automation may be prone to become fatigued faster than manual drivers (e.g. Schömig et al., 2015). However, little is known about the progression of fatigue during automated driving and its effects on the ability to take back manual control after a take-over request. In this driving simulator study with Nö=ö60 drivers we used a three factorial 2ö×ö2ö×ö12 mixed design to analyze the progression (12ö×ö5ömin; within subjects) of driver fatigue in drivers with automation compared to manual drivers (between subjects)...
March 20, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29557078/a-double-blind-placebo-controlled-phase-ii-study-to-determine-the-efficacy-safety-tolerability-and-pharmacokinetics-of-a-controlled-release-cr-formulation-of-mazindol-in-adults-with-dsm-5-attention-deficit-hyperactivity-disorder-adhd
#6
Tim L Wigal, Jeffrey H Newcorn, Nelson Handal, Sharon B Wigal, Ioulietta Mulligan, Virginia Schmith, Eric Konofal
BACKGROUND: Mazindol is under investigation for the treatment of attention-deficit/hyperactivity disorder (ADHD) because of its alertness-enhancing properties. A novel controlled-release (CR) formulation of mazindol was developed to allow once-daily dosing. OBJECTIVE: The aim of this study was to evaluate the efficacy of mazindol CR in adults with ADHD. DESIGN: We conducted a randomized, double-blind, placebo-controlled 6-week trial. METHODS: Subjects diagnosed with ADHD using the Mini-International Neuropsychiatric Structured Interview (MINI) and with an ADHD Rating Scale, Diagnostic and Statistical Manual of Mental Disorders 5th Edition (ADHD-RS-DSM5) score ≥ 28 were randomized to receive placebo or 1-3 mg/day of mazindol for 6 weeks...
March 19, 2018: CNS Drugs
https://www.readbyqxmd.com/read/29549968/cognitive-flexibility-a-distinct-element-of-performance-impairment-due-to-sleep-deprivation
#7
K A Honn, J M Hinson, P Whitney, H P A Van Dongen
In around-the-clock operations, reduced alertness due to circadian misalignment and sleep loss causes performance impairment, which can lead to catastrophic errors and accidents. There is mounting evidence that performance on different tasks is differentially affected, but the general principles underlying this differentiation are not well understood. One factor that may be particularly relevant is the degree to which tasks require executive control, that is, control over the initiation, monitoring, and termination of actions in order to achieve goals...
March 14, 2018: Accident; Analysis and Prevention
https://www.readbyqxmd.com/read/29549745/exploring-the-effects-of-mental-and-muscular-fatigue-in-soccer-players-performance
#8
Diogo Coutinho, Bruno Gonçalves, Del P Wong, Bruno Travassos, Aaron J Coutts, Jaime Sampaio
This study examined the effects of induced mental and muscular fatigue on soccer players' physical activity profile and collective behavior during small-sided games (SSG). Ten youth soccer players performed a 5vs5 SSG under three conditions: a) control, playing without any previous activity; b) muscular fatigue, playing after performing a repeated change-of-direction task; c) mental fatigue, playing after completing a 30 min Stroop color-word task. Players' positional data was used to compute time-motion and tactical-related variables...
April 2018: Human Movement Science
https://www.readbyqxmd.com/read/29514353/the-value-of-monitoring-clinical-decision-support-interventions
#9
Eileen Yoshida, Shirley Fei, Karen Bavuso, Charles Lagor, Saverio Maviglia
BACKGROUND: Well-functioning clinical decision support (CDS) can facilitate provider workflow, improve patient care, promote better outcomes, and reduce costs. However, poorly functioning CDS may lead to alert fatigue, cause providers to ignore important CDS interventions, and increase provider dissatisfaction. OBJECTIVE: The purpose of this article is to describe one institution's experience in implementing a program to create and maintain properly functioning CDS by systematically monitoring CDS firing rates and patterns...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29508700/crying-wolf-the-growing-fatigue-around-sepsis-alerts
#10
EDITORIAL
The Lancet Respiratory Medicine
No abstract text is available yet for this article.
March 2018: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/29490408/nonmodal-clinical-decision-support-and-antimicrobial-restriction-effects-on-rates-of-fluoroquinolone-use-in-uncomplicated-infections
#11
Lundy R Gunn, Robert Tunney, Kimberly Kelly
BACKGROUND:  Medication alert overrides remain persistently high over the past decade, influenced by factors such as "alert fatigue" and lack of provider acceptance. OBJECTIVE:  We compared the aggregate rate of fluoroquinolone (FQ) prescribing for the treatment of acute sinusitis, acute bronchitis, and uncomplicated urinary tract infections (UTIs) in adult inpatients prior to (historical control group) and after (prospective intervention group) implementation of a program requiring indication when ordering FQ antibiotics in combination with a nonmodal best-practice alert regarding the latest U...
January 2018: Applied Clinical Informatics
https://www.readbyqxmd.com/read/29485296/facilitation-or-hindrance-physicians-perception-on-best-practice-alerts-bpa-usage-in-an-electronic-health-record-system
#12
Huan Chen, Earlesha Butler, Yi Guo, Thomas George, François Modave, Matthew Gurka, Jiang Bian
A qualitative study was conducted to examine physicians' perception on best practice alerts (BPAs) usage under the theoretical framework of technology acceptance model (TAM). In particular, 20 face-to-face in-depth interviews were conducted from September 2016 to February 2017 to collect data. Four themes emerged from the current set of data: support, de-escalation, management, and enhancement are physicians' perceived motivations of using BPAs; interactivity, timing, and interface design are key factors that influence physicians' perceived experiences of using BPAs; alert fatigue and inaccurate alters are major challenges and issues faced by physicians when using BPAs; and, control and team approach are physicians' perceptions on the future improvement of BPAs...
February 27, 2018: Health Communication
https://www.readbyqxmd.com/read/29483874/cardiac-autonomic-modulations-and-psychological-correlates-in-the-yukon-arctic-ultra-the-longest-and-the-coldest-ultramarathon
#13
Lea C Rundfeldt, Martina A Maggioni, Robert H Coker, Hanns-Christian Gunga, Alain Riveros-Rivera, Adriane Schalt, Mathias Steinach
Studies on human physical performance in extreme environments have effectively approached the investigation of adaptation mechanisms and their physiological limits. As scientific interest in the interplay between physiological and psychological aspects of performance is growing, we aimed to investigate cardiac autonomic control, by means of heart rate variability, and psychological correlates, in competitors of a subarctic ultramarathon, taking place over a 690 km course (temperatures between +5 and -47°C)...
2018: Frontiers in Physiology
https://www.readbyqxmd.com/read/29464379/positive-effects-of-fampridine-on-cognition-fatigue-and-depression-in-patients-with-multiple-sclerosis-over-2-years
#14
Sarah D Broicher, Linard Filli, Olivia Geisseler, Nicole Germann, Björn Zörner, P Brugger, M Linnebank
OBJECTIVE: To assess the effects of PR-fampridine on cognitive functioning, fatigue and depression in patients with multiple sclerosis (PwMS). METHODS: Thirty-two PwMS were included in this trial. Cognitive performance was assessed in an open-label and randomized double-blind, placebo-controlled study design using a comprehensive neuropsychological test battery as well as questionnaires examining depression and fatigue. RESULTS: We found significant improvements in cognitive measures assessing alertness (tonic alertness, p = 0...
February 20, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29446193/impact-of-nonintrusive-clinical-decision-support-systems-on-laboratory-test-utilization-in-a-large-academic-centre
#15
Kevin P Eaton, Natasha Chida, Ariella Apfel, Leonard Feldman, Adena Greenbaum, Susan Tuddenham, Emily A Kendall, Amit Pahwa
BACKGROUND: The near-universal prevalence of electronic health records (EHRs) has made the utilization of clinical decision support systems (CDSS) an integral strategy for improving the value of laboratory ordering. Few studies have examined the effectiveness of nonintrusive CDSS on inpatient laboratory utilization in large academic centres. METHODS: Red blood cell folate, hepatitis C virus viral loads and genotypes, and type and screens were selected for study...
February 15, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29445517/autonomic-components-of-complex-regional-pain-syndrome-crps-are-favourably-affected-by-electrical-twitch-obtaining-intramuscular-stimulation-etoims-effects-on-blood-pressure-and-heart-rate
#16
Jennifer Chu, Frans Bruyninckx, Duncan V Neuhauser
Introduction: Favourable pain relief results on evoking autonomous twitches at myofascial trigger points with Electrical Twitch Obtaining Intramuscular Stimulation (ETOIMS). Aim: To document autonomic nervous system (ANS) dysfunction in Complex Regional Pain Syndrome (CRPS) from blood pressure (BP) and pulse/heart rate changes with ETOIMS. Methods and materials: A patient with persistent pain regularly received serial ETOIMS sessions of 60, 90, 120 or ≥150 min over 24 months...
July 2017: BMJ Innovations
https://www.readbyqxmd.com/read/29436466/evaluation-of-prescriber-responses-to-pharmacogenomics-clinical-decision-support-for-thiopurine-s-methyltransferase-testing
#17
Samuel Ubanyionwu, Christine M Formea, Benjamin Anderson, Kelly Wix, Ross Dierkhising, Pedro J Caraballo
PURPOSE: Results of a study of prescribers' responses to a pharmacogenomics-based clinical decision support (CDS) alert designed to prompt thiopurine S -methyltransferase (TPMT) status testing are reported. METHODS: A single-center, retrospective, chart review-based study was conducted to evaluate prescriber compliance with a pretest CDS alert that warned of potential thiopurine drug toxicity resulting from deficient TPMT activity due to TPMT gene polymorphism. The CDS alert was triggered when prescribers ordered thiopurine drugs for patients whose records did not indicate TPMT status or when historical thiopurine use was documented in the electronic health record...
February 15, 2018: American Journal of Health-system Pharmacy: AJHP
https://www.readbyqxmd.com/read/29379092/malignancy-dominated-with-rheumatic-manifestations-a-retrospective-single-center-analysis
#18
Jian Wen, Han Ouyang, Ru Yang, Lin Bo, Yi Zhang, Mei Tang, Zhichun Liu
Paraneoplastic rheumatic syndromes comprise a heterogeneous group of disorders characterized by typical rheumatic manifestations but without direct invasion by the tumor or metastases. The clinical features and malignancy-associated risk factors of 21 patients with paraneoplastic rheumatic syndromes, including 11 men and 10 women with a mean age of 56.3 ± 13.1 years, were characterized by a retrospective review. All patients were diagnosed with malignancy within 2 years of rheumatism diagnosis. Patients suffering from solid malignancies accounted for the majority (62%); hematological malignancies were observed in the remainder...
January 29, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29376883/how-mental-fatigue-affects-the-neural-sources-of-p300-component
#19
Malihe Sabeti, Reza Boostani, Karim Rastgar
Accurate differentiation of mental fatigue levels by analyzing electroencephalogram (EEG) features is still a challenge. This deficiency is rooted in the inability of conventional EEG features to reveal significant changes amongst fatigue levels. From a different perspective, it is evident for evaluating the amount of alertness that characterizing the P300 component is widely used by performing a recognition task. The goal of this study is to classify the pre-task and post-task fatigue levels by tracking the spatial activation of their P300 sources compared to differentiating the P300 waveform features...
2018: Journal of Integrative Neuroscience
https://www.readbyqxmd.com/read/29367187/quality-of-decision-support-in-computerized-provider-order-entry-systematic-literature-review
#20
REVIEW
Delphine Carli, Guillaume Fahrni, Pascal Bonnabry, Christian Lovis
BACKGROUND: Computerized decision support systems have raised a lot of hopes and expectations in the field of order entry. Although there are numerous studies reporting positive impacts, concerns are increasingly high about alert fatigue and effective impacts of these systems. One of the root causes of fatigue alert reported is the low clinical relevance of these alerts. OBJECTIVE: The objective of this systematic review was to assess the reported positive predictive value (PPV), as a proxy to clinical relevance, of decision support systems in computerized provider order entry (CPOE)...
January 24, 2018: JMIR Medical Informatics
keyword
keyword
46293
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"