Table 4

Summary of changes made to alerting during the piloting of the alert system

ChangeMotivation
Excluded patients with ‘deceased’ statusOccasional alerting on patients who had recently died was ghoulish and unactionable
Modified language to make it clear that ‘agreeing’ with alert suppresses future alerts for themselves onlyProviders are eager to find ways to suppress alerts once they have been alerted
Extended the ‘prior dialysis’ exclusion criterion to 1 yearSome chronic dialysis patients would initially lead to an alert
Excluded providers who cannot enter ordersAKI Order set is not useful for individuals (such as nurses, medical students) who are unauthorised to enter orders.
  • AKI,  acute kidney injury.