Measure the alert to action handoff
For the clinical decision support system titled “A Clinical Decision Support System for Early Recognition of Thrombotic Microangiopathy in Hospitalized Patients,” the critical workflow handoff is from a generated alert to clinician review. A process evaluation should record how many alerts reach the responsible clinician, how long review takes, and how often no review is documented. If eligible patients are lost before review, the failure would point to routing, ownership, or workload rather than the recognition logic itself.
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