The results showed that rank-order measures tended to show the greatest responsiveness, expressed as effect size. The implications of these results for directly measuring the performance, as well as the impact, of DDSS are discussed. The information intervention had a significant impact on reduction of adverse events and physicians decision patterns. Mintz, PhD , NewYork Weill Cornell Medical Center, New York, NY, A. G . Boyer, MSN, MBA , NewYork Weill Cornell Medical Center, New York, NY, and W. W .
Development can require significant programming effort.
Final testing should ideally be performed in a real clinical environment without clinician notification, which may create technical challenges. After an alert is in production, modifications may become necessary in response clinician feedback, changes in clinical factors, or technical issues. Changes may be required in the knowledge base utilized by the alert or in the presentation of the alert condition to the clinicians. Occasionally, different users within the clinical environment may wish to have the same alert data presented differently. Some elements of this scheme may be appropriate for incorporation into clinical alerting standards.