{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:28:49Z","timestamp":1786555729973,"version":"build-2736575974"},"reference-count":0,"publisher":"Canadian Society of Healthcare-Systems Pharmacy","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Hosp Pharm"],"abstract":"<jats:p>Background: The Clinical &amp; Systems Transformation project implemented the Oracle Health (formerly Cerner) electronic health record system across 3 health organizations in British Columbia. Medication-related clinical decision support (CDS) alerts in such systems are intended to assist pharmacists during order verification but may contribute to alert fatigue.\nObjectives: To evaluate hospital pharmacists\u2019 perceptions of standard and custom CDS alerts within the pharmacist verification application of the new system, including their views on alert content, alert volume, and improvement opportunities.\nMethods: A cross-sectional survey was conducted in late 2023 at the 3 health organizations, targeting pharmacists with at least 6 months of experience using the system. Quantitative data were analyzed using descriptive statistics, and qualitative responses were grouped into common themes.\nResults: A total of 47 responses were suitable for analysis. The majority of respondents rated CDS alert content positively. However, perceptions about the volume of alerts and overall alert satisfaction were primarily neutral. Certain custom alerts, such as those for low renal function, were rated as having high impact but were infrequently encountered.\nConclusions: These findings highlight the need for ongoing optimization of CDS alerts to better support pharmacists through reduction of unnecessary alerts and improved implementation of high-impact alerts.\nKeywords: clinical decision support, alert fatigue, electronic health record system, computerized prescriber order entry, dispensary pharmacist, hospital pharmacy\nR\u00c9SUM\u00c9\nContexte: Le projet Clinical &amp; Systems Transformation (transformation clinique et des syst\u00e8mes) a permis de mettre en place le syst\u00e8me de dossiers de sant\u00e9 \u00e9lectronique Oracle Health (anciennement Cerner) dans 3 organismes de sant\u00e9 en Colombie-Britannique. Les alertes de soutien \u00e0 la d\u00e9cision clinique (SDC) li\u00e9es aux m\u00e9dicaments dans de tels syst\u00e8mes sont con\u00e7ues pour aider les pharmaciens lors de la v\u00e9rification des ordonnances, mais elles pourraient contribuer \u00e0 la fatigue li\u00e9e aux alertes.\nObjectifs: \u00c9valuer les perceptions des pharmaciens d\u2019h\u00f4pitaux \u00e0 l\u2019\u00e9gard des alertes SDC standards et personnalis\u00e9es au sein de l\u2019application de v\u00e9rification par les pharmaciens du nouveau syst\u00e8me, y compris leurs avis sur le contenu et le volume des alertes, mais aussi sur les possibilit\u00e9s d\u2019am\u00e9lioration.\nM\u00e9thodologie: Une enqu\u00eate transversale a \u00e9t\u00e9 men\u00e9e \u00e0 la fin de l\u2019ann\u00e9e 2023 dans les 3 organismes de sant\u00e9, visant les pharmaciens ayant au moins 6 mois d\u2019exp\u00e9rience avec le syst\u00e8me. Les donn\u00e9es quantitatives ont \u00e9t\u00e9 analys\u00e9es \u00e0 l\u2019aide de statistiques descriptives, et les r\u00e9ponses qualitatives ont \u00e9t\u00e9 regroup\u00e9es par th\u00e8mes communs.\nR\u00e9sultats: Au total, 47 r\u00e9ponses se pr\u00eataient \u00e0 l\u2019analyse. La majorit\u00e9 des r\u00e9pondants ont \u00e9valu\u00e9 positivement le contenu des alertes SDC. Cependant, les perceptions concernant le volume des alertes et le niveau de satisfaction g\u00e9n\u00e9rale \u00e0 leur \u00e9gard \u00e9taient principalement neutres. Certaines alertes personnalis\u00e9es, telles que celles signalant une faible fonction r\u00e9nale, ont \u00e9t\u00e9 \u00e9valu\u00e9es comme ayant un fort impact, mais elles \u00e9taient rarement rencontr\u00e9es.\nConclusions: Ces r\u00e9sultats soulignent la n\u00e9cessit\u00e9 d\u2019optimiser continuellement les alertes SDC afin de mieux soutenir les pharmaciens en r\u00e9duisant les alertes inutiles et en am\u00e9liorant la mise en \u0153uvre de celles \u00e0 fort impact.\nMots-cl\u00e9s: soutien \u00e0 la d\u00e9cision clinique, fatigue li\u00e9e aux alertes, syst\u00e8me de dossiers de sant\u00e9 \u00e9lectronique, saisie informatis\u00e9e des demandes des prescripteurs, pharmacien de pharmacie, pharmacie hospitali\u00e8re<\/jats:p>","DOI":"10.4212\/cjhp.3802","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T16:30:56Z","timestamp":1786552256000},"source":"Crossref","is-referenced-by-count":0,"title":["Pharmacists\u2019 Perceptions of Medication-Related Clinical Decision Support Alerts in an Electronic Health Record System"],"prefix":"10.4212","volume":"79","author":[{"given":"Brandon","family":"Tong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melvin","family":"Lau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Fan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josh","family":"Batterink","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey","family":"Valalik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandra","family":"Yin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2732","published-online":{"date-parts":[[2026,8,12]]},"container-title":["Canadian Journal of Hospital Pharmacy"],"original-title":[],"link":[{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3802\/5927","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3802\/5930","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3802\/5927","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T16:30:57Z","timestamp":1786552257000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/view\/3802"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2026,7,8]]}},"URL":"https:\/\/doi.org\/10.4212\/cjhp.3802","relation":{},"ISSN":["1920-2903","0008-4123"],"issn-type":[{"value":"1920-2903","type":"electronic"},{"value":"0008-4123","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"article-number":"e3802"}}