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Another factor that was identified as affecting clinical utility isthe challenge of configuring alerts; striking the right balance be-tween over-triggering and under-alerting when action is needed hasproven challenging. This can have a direct impact on the clinicalutility of a model. Nursing alarm fatigue, particularly with some ofthe most critically-ill patients, is a well-characterized phenome-non.20 One interviewee explained, “one of the biggest challenges inimplementation is figuring out what signals you should send andwho to send them to, when and how.”

Question

Another factor that was identified as affecting clinical utility isthe challenge of configuring alerts; striking the right balance be-tween over-triggering and under-alerting when action is needed hasproven challenging. This can have a direct impact on the clinicalutility of a model. Nursing alarm fatigue, particularly with some ofthe most critically-ill patients, is a well-characterized phenome-non.20 One interviewee explained, “one of the biggest challenges inimplementation is figuring out what signals you should send andwho to send them to, when and how.”

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Solution

The passage discusses the difficulty in configuring alerts in a clinical setting, which directly affects the clinical utility of a model. The challenge lies in finding the right balance between over-triggering and under-alerting when action is needed. This is particularly problematic in cases of nursing alarm fatigue, especially with critically-ill patients. The interviewee highlights that one of the biggest challenges in implementation is determining what signals should be sent, who should receive them, and when and how they should be sent.

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