Table 4
Description and Resolution Status of 52 Implementation Issues Identified During Study
| Issue | N | Description/Resolution (R)=Resolved, (U)=Unresolved |
| Erroneous alert | 6 | Alerts sent for “test” patients used in the EMR (R) |
| Erroneous alert | 3 | Duplicate alert sent after hospital account number changed when patient was transferred to or from the rehabilitation unit) (U) |
| Erroneous alert | 4 | Hospital personnel entered wrong room number when patient was transferred resulting in alert sent to wrong unit (U) |
| Server downtime | 8 | Server downtime resulting in delayed alerts (R) |
| Alert timing | 3 | Nursing request to delay alerts 45 minutes after admission or transfer due to busy workload at admission or alerts generated on unit before patient arrival. (R) |
| Alert reminders | 4 | Automate reminder alerts when PCR tests are not requested within a specified period of time. (U) |
| Designated terminal location | 1 | Unnoticed alert due to inadequate location of terminals designated to display alerts. (R) |
| Acknowledgment design problem | 2 | Alerts awaiting acknowledgment overwritten by new alert for different patient (U, 45 minute alert delay may resolve) |
| Acknowledgment functionality | 7 | Include options to decline and recall previous alerts, limit user acknowledgment rights, prevent simultaneous acknowledgment by different users, include follow-up instructions for alerts, automate signature of the acknowledging user, add patient name to acknowledgment screen (U) |
| Unnecessary tests | 7 | If positive PCR test results available within 60 days, do not require repeat testing (U) |
| Laboratory | 7 | Specimen lost or processing delayed after laboratory received nasal swab. |
| Total | 52 |
