Electronic Medical Alerts — So Simple, So Complex

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Abstract
One of the most consistent findings in health research is the gap between evidence and practice. It is estimated that the care received by 30 to 40 percent of patients in the United States and the Netherlands does not conform to currently available scientific evidence.1,2 In most developed countries, the publication of national clinical practice guidelines over the past 15 years marked the first attempt to fill this gap. However, merely issuing recommendations is not enough to change practice. Numerous studies have shown that well-designed, complex interventions are required to change physicians' behavior. Reminders that appear when physicians are . . .