In Reply We are grateful to Garneau and colleagues for their interest in our study.1 We agree that a best practice alert, by itself, appears to have a smaller effect size than multimodal interventions in the reduction of unnecessary cardiac monitoring. We highlighted this in the Discussion section of the article: “It therefore appears that the effect size from only making changes to the [electronic health record] is smaller than what can be expected from including other elements typical of quality improvement interventions….”1(p14) We also agree that the success of our intervention was likely because of, in large part, its careful targeting in accordance with the 5 “rights” of clinical decision support.2
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Najafi N, Cucina R, Khanna R. Effectiveness of a Best Practice Alert to Reduce Telemetry Orders—Reply. JAMA Intern Med. 2019;179(6):844–845. doi:10.1001/jamainternmed.2019.0705
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: