Electronic clinical decision support for the early recognition and management of acute kidney injury: Qualitative evaluation of end-user experience

Electronic clinical decision support (eCDS) systems have been suggested as a possible solution to deficiencies in AKI care and have been widely adopted despite limited evidence. The broader literature, however, describes alert fatigue, end-user disengagement and unintended consequences, particularly when systems are introduced with limited end-user input. A nationwide mandate now standardises the biochemical algorithm for reporting AKI but end-user interfaces remain heterogeneous with variations in IT capability, alert intrusiveness and accompanying content.