Editorial Views  |   February 2018
Decision Support Alerts: Importance of Validation
Author Notes
  • From the Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio.
  • Corresponding articles on pages 247 and 272.
    Corresponding articles on pages 247 and 272.×
  • Accepted for publication July 21, 2017.
    Accepted for publication July 21, 2017.×
  • Address correspondence to Dr. Sessler: DS@OR.org
Article Information
Editorial Views / Cardiovascular Anesthesia / Infectious Disease / Renal and Urinary Systems / Electrolyte Balance / Respiratory System / Trauma / Burn Care / Quality Improvement
Editorial Views   |   February 2018
Decision Support Alerts: Importance of Validation
Anesthesiology 2 2018, Vol.128, 241-243. doi:10.1097/ALN.0000000000002025
Anesthesiology 2 2018, Vol.128, 241-243. doi:10.1097/ALN.0000000000002025
ELECTRONIC anesthesia records are now ubiquitous in the United States and are rapidly becoming standard the world over. Once electronic records are implemented, it is relatively easy to add decision support functions. There has thus been a proliferation of systems that interpret anesthetic variables and provide guidance to clinicians.
In this issue of Anesthesiology, Kheterpal et al.1  present an evaluation of a locally developed decision support system called AlertWatch. The system guides clinicians to avoid hypotension, limit tidal volume, and give appropriate amounts of fluid. They compared a cohort of patients in whom clinicians chose to activate decision support with: (1) a control cohort from the 22 months before the system was available, and (2) a contemporaneous cohort in which clinicians did not activate decision support. In addition to process measures, the investigators evaluated outcomes including myocardial and kidney injury, hospital length of stay, and mortality.
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