Evaluation of sepsis CDS tool knowledge and utilization among graduate medical trainees: insights to inform redesign in an academic health system

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Source: Frontiers Medicine

Original: https://www.frontiersin.org/articles/10.3389/fmed.2025.1660390...

Published: 2026-01-05T00:00:00Z

A study evaluated the knowledge and use of clinical decision support (CDS) tools designed for the early identification and treatment of sepsis in electronic health records by physicians at an academic hospital.[5] Ninety-two physicians participated in an anonymous survey (13.7% response rate), of whom 80 were aware of the sepsis alert, but only 11.3% of them used an available sepsis counselor.[3] The main concerns were fatigue from too many warnings (62.5% of respondents) and doubts about the clinical usefulness of the tools (46.3%).[3] Only 16.3% of participants found both tools useful, while 52.5% rated them ineffective.[3] Respondents suggested improvements including an asynchronous alert format, the ability to flag patients already in treatment, and redesigning the advisor to better match clinician workflow.[3] The authors conclude that although CDS tools have the potential to improve sepsis care, their impact is limited by insufficient education, poor workflow integration, and alert fatigue.