{"id":"https://openalex.org/W2766597844","doi":"https://doi.org/10.1093/jamia/ocx106","title":"Clinical decision support alert malfunctions: analysis and empirically derived taxonomy","display_name":"Clinical decision support alert malfunctions: analysis and empirically derived taxonomy","publication_year":2017,"publication_date":"2017-09-02","ids":{"openalex":"https://openalex.org/W2766597844","doi":"https://doi.org/10.1093/jamia/ocx106","mag":"2766597844","pmid":"https://pubmed.ncbi.nlm.nih.gov/29045651"},"language":"en","primary_location":{"id":"doi:10.1093/jamia/ocx106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx106","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/5/496/25088026/ocx106.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://academic.oup.com/jamia/article-pdf/25/5/496/25088026/ocx106.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004738173","display_name":"Adam Wright","orcid":"https://orcid.org/0000-0001-6844-145X"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Adam Wright","raw_affiliation_strings":["Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA","Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032660787","display_name":"Angela Ai","orcid":"https://orcid.org/0000-0002-6064-4700"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Angela Ai","raw_affiliation_strings":["Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056461537","display_name":"Joan S. Ash","orcid":"https://orcid.org/0000-0003-0017-3035"},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joan Ash","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017938997","display_name":"Jane F. Wiesen","orcid":null},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jane F Wiesen","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5008691501","display_name":"Thu-Trang T. Hickman","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Thu-Trang T Hickman","raw_affiliation_strings":["Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5035879711","display_name":"Skye Aaron","orcid":null},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Skye Aaron","raw_affiliation_strings":["Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5020133926","display_name":"Dustin McEvoy","orcid":"https://orcid.org/0000-0002-5860-1541"},"institutions":[{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dustin McEvoy","raw_affiliation_strings":["Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA","institution_ids":["https://openalex.org/I48633490"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053890917","display_name":"Shane Borkowsky","orcid":null},"institutions":[{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Shane Borkowsky","raw_affiliation_strings":["Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Illinois at Chicago, Chicago, IL, USA","institution_ids":["https://openalex.org/I39422238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022085296","display_name":"Pavithra I. Dissanayake","orcid":"https://orcid.org/0000-0002-4306-0797"},"institutions":[{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pavithra I Dissanayake","raw_affiliation_strings":["Department of Pathology, University of Illinois at Chicago, Chicago, IL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, University of Illinois at Chicago, Chicago, IL, USA","institution_ids":["https://openalex.org/I39422238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015307002","display_name":"Peter J. Emb\u00ed","orcid":"https://orcid.org/0000-0002-7733-0847"},"institutions":[{"id":"https://openalex.org/I1324682000","display_name":"Regenstrief Institute","ror":"https://ror.org/05f2ywb48","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I1324682000"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Peter Embi","raw_affiliation_strings":["Regenstrief Institute, Indianapolis, IN, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Regenstrief Institute, Indianapolis, IN, USA","institution_ids":["https://openalex.org/I1324682000"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005756242","display_name":"William Galanter","orcid":"https://orcid.org/0000-0001-7811-5391"},"institutions":[{"id":"https://openalex.org/I39422238","display_name":"University of Illinois Chicago","ror":"https://ror.org/02mpq6x41","country_code":"US","type":"education","lineage":["https://openalex.org/I39422238"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"William Galanter","raw_affiliation_strings":["Department of Medicine, Pharmacy Practices, and Pharmacy Systems, Outcomes and Policy, University of Illinois at Chicago, Chicago, IL, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Pharmacy Practices, and Pharmacy Systems, Outcomes and Policy, University of Illinois at Chicago, Chicago, IL, USA","institution_ids":["https://openalex.org/I39422238"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022034352","display_name":"Jeremy Harper","orcid":"https://orcid.org/0000-0003-1244-8948"},"institutions":[{"id":"https://openalex.org/I2802841970","display_name":"The Ohio State University Wexner Medical Center","ror":"https://ror.org/00c01js51","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802841970"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jeremy Harper","raw_affiliation_strings":["Department of Biomedical Informatics, The Ohio State University Wexner Medical Center, Columbus, OH, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, The Ohio State University Wexner Medical Center, Columbus, OH, USA","institution_ids":["https://openalex.org/I2802841970"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012636153","display_name":"Steve Kassakian","orcid":null},"institutions":[{"id":"https://openalex.org/I165690674","display_name":"Oregon Health & Science University","ror":"https://ror.org/009avj582","country_code":"US","type":"education","lineage":["https://openalex.org/I165690674"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Steve Z Kassakian","raw_affiliation_strings":["Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health and Science University, Portland, OR, USA","institution_ids":["https://openalex.org/I165690674"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029336572","display_name":"Rachel Ramoni","orcid":"https://orcid.org/0000-0002-1459-9638"},"institutions":[{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Ramoni","raw_affiliation_strings":["Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA","Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024127399","display_name":"Richard Schreiber","orcid":"https://orcid.org/0000-0002-6138-7048"},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard Schreiber","raw_affiliation_strings":["Department of Medicine and Information Technology, Holy Spirit Hospital \u2013 A Geisinger Affiliate, Camp Hill, PA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine and Information Technology, Holy Spirit Hospital \u2013 A Geisinger Affiliate, Camp Hill, PA, USA","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012292389","display_name":"Anwar Mohammad Sirajuddin","orcid":null},"institutions":[{"id":"https://openalex.org/I1306862143","display_name":"Memorial Hermann","ror":"https://ror.org/049d9a475","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1306862143"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anwar Sirajuddin","raw_affiliation_strings":["Department of Medical Informatics, Memorial Hermann Health System, Houston, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Informatics, Memorial Hermann Health System, Houston, TX, USA","institution_ids":["https://openalex.org/I1306862143"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036110536","display_name":"David W. Bates","orcid":"https://orcid.org/0000-0001-6268-1540"},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283280774","https://openalex.org/I48633490"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]},{"id":"https://openalex.org/I48633490","display_name":"Mass General Brigham","ror":"https://ror.org/04py2rh25","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David W Bates","raw_affiliation_strings":["Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA","Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","Department of Medicine, Harvard Medical School, Boston, MA, USA","Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Clinical and Quality Analysis, Partners Healthcare, Somerville, MA, USA","institution_ids":["https://openalex.org/I48633490"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women\u2019s Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]},{"raw_affiliation_string":"Department of Medicine, Harvard Medical School, Boston, MA, USA","institution_ids":["https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5010098013","display_name":"Dean F. Sittig","orcid":"https://orcid.org/0000-0001-5811-8915"},"institutions":[{"id":"https://openalex.org/I919571938","display_name":"The University of Texas Health Science Center at Houston","ror":"https://ror.org/03gds6c39","country_code":"US","type":"education","lineage":["https://openalex.org/I919571938"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Dean F Sittig","raw_affiliation_strings":["Department of Biomedical Informatics, University of Texas Health Science Center at Houston, TX, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Biomedical Informatics, University of Texas Health Science Center at Houston, TX, USA","institution_ids":["https://openalex.org/I919571938"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":18,"corresponding_author_ids":["https://openalex.org/A5004738173"],"corresponding_institution_ids":["https://openalex.org/I1283280774","https://openalex.org/I136199984","https://openalex.org/I48633490"],"apc_list":{"value":3967,"currency":"USD","value_usd":3967},"apc_paid":{"value":3967,"currency":"USD","value_usd":3967},"fwci":19.2934,"has_fulltext":false,"cited_by_count":80,"citation_normalized_percentile":{"value":0.99308072,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":97,"max":100},"biblio":{"volume":"25","issue":"5","first_page":"496","last_page":"506"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9089000225067139,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.9089000225067139,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13248","display_name":"Healthcare Technology and Patient Monitoring","score":0.026399999856948853,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11636","display_name":"Artificial Intelligence in Healthcare and Education","score":0.010499999858438969,"subfield":{"id":"https://openalex.org/subfields/2718","display_name":"Health Informatics"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/taxonomy","display_name":"Taxonomy (biology)","score":0.7319875955581665},{"id":"https://openalex.org/keywords/clinical-decision-support-system","display_name":"Clinical decision support system","score":0.5988802313804626},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.5628345608711243},{"id":"https://openalex.org/keywords/decision-support-system","display_name":"Decision support system","score":0.5520999431610107},{"id":"https://openalex.org/keywords/clinical-decision-making","display_name":"Clinical decision making","score":0.42594075202941895},{"id":"https://openalex.org/keywords/data-science","display_name":"Data science","score":0.3651444911956787},{"id":"https://openalex.org/keywords/data-mining","display_name":"Data mining","score":0.23980280756950378},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.17150062322616577},{"id":"https://openalex.org/keywords/intensive-care-medicine","display_name":"Intensive care medicine","score":0.07982012629508972}],"concepts":[{"id":"https://openalex.org/C58642233","wikidata":"https://www.wikidata.org/wiki/Q8269924","display_name":"Taxonomy (biology)","level":2,"score":0.7319875955581665},{"id":"https://openalex.org/C63527458","wikidata":"https://www.wikidata.org/wiki/Q5133829","display_name":"Clinical decision support system","level":3,"score":0.5988802313804626},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.5628345608711243},{"id":"https://openalex.org/C107327155","wikidata":"https://www.wikidata.org/wiki/Q330268","display_name":"Decision support system","level":2,"score":0.5520999431610107},{"id":"https://openalex.org/C2989179672","wikidata":"https://www.wikidata.org/wiki/Q6806500","display_name":"Clinical decision making","level":2,"score":0.42594075202941895},{"id":"https://openalex.org/C2522767166","wikidata":"https://www.wikidata.org/wiki/Q2374463","display_name":"Data science","level":1,"score":0.3651444911956787},{"id":"https://openalex.org/C124101348","wikidata":"https://www.wikidata.org/wiki/Q172491","display_name":"Data mining","level":1,"score":0.23980280756950378},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.17150062322616577},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.07982012629508972},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C59822182","wikidata":"https://www.wikidata.org/wiki/Q441","display_name":"Botany","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D002965","descriptor_name":"Classification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002965","descriptor_name":"Classification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002965","descriptor_name":"Classification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002965","descriptor_name":"Classification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002965","descriptor_name":"Classification","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D004868","descriptor_name":"Equipment Failure","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016347","descriptor_name":"Medical Records Systems, Computerized","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019544","descriptor_name":"Equipment Failure Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019544","descriptor_name":"Equipment Failure Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019544","descriptor_name":"Equipment Failure Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019544","descriptor_name":"Equipment Failure Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D019544","descriptor_name":"Equipment Failure Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D020000","descriptor_name":"Decision Support Systems, Clinical","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D050316","descriptor_name":"Medical Order Entry Systems","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1093/jamia/ocx106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx106","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/5/496/25088026/ocx106.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},{"id":"pmid:29045651","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/29045651","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association : JAMIA","raw_type":null},{"id":"pmh:oai:europepmc.org:4982096","is_oa":false,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6019061","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:6019061","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/6019061","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"J Am Med Inform Assoc","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jamia/ocx106","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jamia/ocx106","pdf_url":"https://academic.oup.com/jamia/article-pdf/25/5/496/25088026/ocx106.pdf","source":{"id":"https://openalex.org/S129839026","display_name":"Journal of the American Medical Informatics Association","issn_l":"1067-5027","issn":["1067-5027","1527-974X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of the American Medical Informatics Association","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","score":0.8100000023841858,"display_name":"Peace, Justice and strong institutions"}],"awards":[{"id":"https://openalex.org/G4617677161","display_name":null,"funder_award_id":"R01LM011966","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2766597844.pdf","grobid_xml":"https://content.openalex.org/works/W2766597844.grobid-xml"},"referenced_works_count":94,"referenced_works":["https://openalex.org/W42433472","https://openalex.org/W79229537","https://openalex.org/W82638990","https://openalex.org/W86919120","https://openalex.org/W89973823","https://openalex.org/W158363753","https://openalex.org/W182184358","https://openalex.org/W203343193","https://openalex.org/W238686504","https://openalex.org/W274028804","https://openalex.org/W398300988","https://openalex.org/W627389725","https://openalex.org/W1514239766","https://openalex.org/W1526809015","https://openalex.org/W1555386872","https://openalex.org/W1562055382","https://openalex.org/W1588848576","https://openalex.org/W1824318664","https://openalex.org/W1824892724","https://openalex.org/W1826361221","https://openalex.org/W1841663249","https://openalex.org/W1846687831","https://openalex.org/W1964769925","https://openalex.org/W1966902801","https://openalex.org/W1968038975","https://openalex.org/W1976092485","https://openalex.org/W1978435309","https://openalex.org/W1982907589","https://openalex.org/W1982924821","https://openalex.org/W1985254283","https://openalex.org/W1994506584","https://openalex.org/W2023248478","https://openalex.org/W2030434108","https://openalex.org/W2046046565","https://openalex.org/W2046929026","https://openalex.org/W2048863723","https://openalex.org/W2054502188","https://openalex.org/W2058671883","https://openalex.org/W2062415625","https://openalex.org/W2069340802","https://openalex.org/W2073924861","https://openalex.org/W2076861050","https://openalex.org/W2080746135","https://openalex.org/W2083062358","https://openalex.org/W2085729731","https://openalex.org/W2086608200","https://openalex.org/W2093274439","https://openalex.org/W2096222958","https://openalex.org/W2097855313","https://openalex.org/W2098118776","https://openalex.org/W2100122314","https://openalex.org/W2104026855","https://openalex.org/W2107053876","https://openalex.org/W2107318542","https://openalex.org/W2108507313","https://openalex.org/W2115441252","https://openalex.org/W2127433315","https://openalex.org/W2131698864","https://openalex.org/W2132808850","https://openalex.org/W2146423282","https://openalex.org/W2155170531","https://openalex.org/W2158631567","https://openalex.org/W2160382101","https://openalex.org/W2162190913","https://openalex.org/W2164337735","https://openalex.org/W2164625756","https://openalex.org/W2169024234","https://openalex.org/W2169215518","https://openalex.org/W2186313874","https://openalex.org/W2241024151","https://openalex.org/W2290173036","https://openalex.org/W2330482840","https://openalex.org/W2340283802","https://openalex.org/W2394058445","https://openalex.org/W2401554664","https://openalex.org/W2527390755","https://openalex.org/W2557877271","https://openalex.org/W2571627293","https://openalex.org/W2611223135","https://openalex.org/W2620990769","https://openalex.org/W2798513298","https://openalex.org/W2798884262","https://openalex.org/W2916491205","https://openalex.org/W6603355423","https://openalex.org/W6603511445","https://openalex.org/W6603663673","https://openalex.org/W6607456641","https://openalex.org/W6608290136","https://openalex.org/W6609169662","https://openalex.org/W6610092649","https://openalex.org/W6630696767","https://openalex.org/W6638409638","https://openalex.org/W6688204077","https://openalex.org/W6730518325"],"related_works":["https://openalex.org/W2046929026","https://openalex.org/W2779278343","https://openalex.org/W1996434451","https://openalex.org/W1569026615","https://openalex.org/W2791725133","https://openalex.org/W2338117633","https://openalex.org/W2112831187","https://openalex.org/W2122149485","https://openalex.org/W4232131108","https://openalex.org/W2128124510"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"develop":[2,76],"an":[3],"empirically":[4,79,233],"derived":[5,80,234],"taxonomy":[6,81,235],"of":[7,25,35,50,57,64,82,112,117,135,151,205,211,220],"clinical":[8,42],"decision":[9],"support":[10],"(CDS)":[11],"alert":[12,20,90,228],"malfunctions.":[13,84],"Materials":[14],"and":[15,27,44,61,122,132,183,198,217,223,249,258],"Methods:":[16],"We":[17,67,86],"identified":[18],"CDS":[19,40,45,58,65,83,89,212,227,246,251],"malfunctions":[21,154,229,252],"using":[22],"a":[23,69,77],"mix":[24],"qualitative":[26],"quantitative":[28],"methods:":[29],"(1)":[30],"site":[31],"visits":[32],"with":[33,100,209],"interviews":[34],"chief":[36,51],"medical":[37,52],"informatics":[38,53],"officers,":[39],"developers,":[41],"leaders,":[43],"end":[46],"users;":[47],"(2)":[48],"surveys":[49],"officers;":[54],"(3)":[55],"analysis":[56,63],"firing":[59],"rates;":[60],"(4)":[62],"overrides.":[66],"used":[68],"multi-round,":[70],"manual,":[71],"iterative":[72],"card":[73],"sort":[74],"to":[75,160,195],"multi-axial,":[78],"Results:":[85],"analyzed":[87],"68":[88],"malfunction":[91,189],"cases":[92],"from":[93],"14":[94],"sites":[95],"across":[96],"the":[97,110,113,133,141,148,173,203,218,237],"United":[98],"States":[99],"diverse":[101],"electronic":[102,184],"health":[103,185],"record":[104,186],"systems.":[105],"Four":[106],"primary":[107],"axes":[108],"emerged:":[109],"cause":[111,242],"malfunction,":[114],"its":[115],"mode":[116,150],"discovery,":[118],"when":[119],"it":[120,124],"began,":[121],"how":[123],"affected":[125],"rule":[126],"firing.":[127],"Build":[128],"errors,":[129,131],"conceptualization":[130],"introduction":[134],"new":[136],"concepts":[137],"or":[138,256],"terms":[139],"were":[140,147],"most":[142],"frequent":[143],"causes.":[144],"User":[145],"reports":[146],"predominant":[149],"discovery.":[152],"Many":[153],"within":[155],"our":[156],"database":[157],"caused":[158],"rules":[159],"fire":[161],"for":[162,164],"patients":[163],"whom":[165],"they":[166,254],"should":[167],"not":[168],"have":[169],"(false":[170,175],"positives),":[171],"but":[172],"reverse":[174],"negatives)":[176],"was":[177],"also":[178],"common.":[179],"Discussion:":[180],"Across":[181],"organizations":[182],"systems,":[187],"similar":[188],"patterns":[190],"recurred.":[191],"Challenges":[192],"included":[193],"updates":[194],"code":[196],"sets":[197],"values,":[199],"software":[200],"issues":[201,240],"at":[202],"time":[204],"system":[206],"upgrades,":[207],"difficulties":[208],"migration":[210],"content":[213],"between":[214],"computing":[215],"environments,":[216],"challenge":[219],"correctly":[221],"conceptualizing":[222],"building":[224],"CDS.":[225],"Conclusion:":[226],"are":[230],"frequent.":[231],"The":[232],"formalizes":[236],"common":[238],"recurring":[239],"that":[241],"these":[243],"malfunctions,":[244],"helping":[245],"developers":[247],"anticipate":[248],"prevent":[250],"before":[253],"occur":[255],"detect":[257],"resolve":[259],"them":[260],"expediently.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":10},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":15},{"year":2019,"cited_by_count":13},{"year":2018,"cited_by_count":11}],"updated_date":"2026-04-29T09:16:38.111599","created_date":"2025-10-10T00:00:00"}