+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Using electronic health record alerts to provide public health situational awareness to clinicians



Using electronic health record alerts to provide public health situational awareness to clinicians



Journal of the American Medical Informatics Association 17(2): 217-219



Alerting providers to public health situations requires timeliness and context-relevance, both lacking in current systems. Incorporating decision support tools into electronic health records may provide a way to deploy public health alerts to clinicians at the point of care. A timely process for responding to Health Alert Network messages sent by the New York City Department of Health and Mental Hygiene was developed by a network of community health centers. Alerts with order sets and recommended actions were created to notify primary care providers of local disease outbreaks. The process, effect, and lessons learned from alerts for Legionella, toxogenic E coli, and measles outbreaks are described. Electronic alerts have the potential to improve management of diseases during an outbreak, including appropriate laboratory testing, management guidance, and diagnostic assistance as well as to enhance bi-directional data exchange between clinical and public health organizations.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 056814121

Download citation: RISBibTeXText

PMID: 20190067

DOI: 10.1136/jamia.2009.000539


Related references

Characterization of public health alerts and their suitability for alerting in electronic health record systems. Journal of Public Health Management and Practice 17(1): 77-83, 2013

Effect of modifying dose alerts in an electronic health record on frequency of alerts. American Journal of Health-System Pharmacy 76(Suppl._1): S1-S8, 2019

A systematic approach to optimize electronic health record medication alerts in a health system. American Journal of Health-System Pharmacy 76(8): 530-536, 2019

Leveraging health information exchange to support public health situational awareness: the indiana experience. Online Journal of Public Health Informatics 2(2), 2010

Impact of integrating public health clinical decision support alerts into electronic health records on testing for gastrointestinal illness. Journal of Public Health Management and Practice 18(3): 224-227, 2012

Situational awareness in public health. Journal of Public Health 26(1): 1-1, 2004

Analysis of Allergy Alerts Registered in a Hospital Electronic Health Record System. Journal of Investigational Allergology and Clinical Immunology 26(6): 400-402, 2017

Impact of electronic health record-based alerts on influenza vaccination for children with asthma. Pediatrics 124(1): 159-169, 2009

Ten strategies to improve management of abnormal test result alerts in the electronic health record. Journal of Patient Safety 6(2): 121-123, 2012

Improving Biosurveillance Systems to Enable Situational Awareness During Public Health Emergencies. Health Security 15(1): 17-19, 2017

Facilitation or Hindrance: Physicians' Perception on Best Practice Alerts (BPA) Usage in an Electronic Health Record System. Health Communication 2018: 1-7, 2018

744b Impact of Clinical Alerts Within Electronic Health Record on Infant Immunization Born to Chb Pregnant Mothers. Gastroenterology 150(4): S152-S153, 2016

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Journal of the American Medical Informatics Association 25(11): 1556-1566, 2018

Impact of clinical alerts within an electronic health record on routine childhood immunization in an urban pediatric population. Pediatrics 120(4): 707-714, 2007

Primary Care Providers' Opening of Time-Sensitive Alerts Sent to Commercial Electronic Health Record InBaskets. Journal of General Internal Medicine 32(11): 1210-1219, 2017