Improving Override Rates for Computerized Prescribing Alerts in Ambulatory Care
نویسندگان
چکیده
Computerized drug prescribing alerts can improve patient safety, but are often overridden because of poor specificity and alert overload. We developed a selective knowledge base of only clinically significant drug alerts and designated only critical-high severity alerts to be interruptive to clinician workflow (a tiered approach). Using this approach, we were able to achieve a 67% clinician accept rate for ambulatory computerized prescribing alerts.
منابع مشابه
Improving Acceptance of Computerized Prescribing Alerts in Ambulatory Care
j J Am Med Inform Assoc. 2006;13:5–11. DOI 10.1197/jamia.M1868. Computerized prescribing applications that embed clinical decision support systems (CDSS) within computerized provider order entry reduce medication error rates both by structuring prescriptions and by checking them for potential problems such as drug interactions, allergies, and other issues. If a potential problem is found, the C...
متن کاملApplication of Information Technology: Improving Acceptance of Computerized Prescribing Alerts in Ambulatory Care
Computerized drug prescribing alerts can improve patient safety, but are often overridden because of poor specificity and alert overload. Our objective was to improve clinician acceptance of drug alerts by designing a selective set of drug alerts for the ambulatory care setting and minimizing workflow disruptions by designating only critical to high-severity alerts to be interruptive to clinici...
متن کاملOverrides of medication alerts in ambulatory care.
BACKGROUND Electronic prescribing systems with decision support may improve patient safety in ambulatory care by offering drug allergy and drug interaction alerts. However, preliminary studies show that clinicians override most of these alerts. METHODS We performed a retrospective analysis of 233 537 medication safety alerts generated by 2872 clinicians in Massachusetts, New Jersey, and Penns...
متن کاملImproving patient safety through computerized drug management: the devil is in the details.
Electronic prescribing and computerized drug management can improve the safety, quality and cost-effectiveness of prescribing. However, if the problems that lead to avoidable adverse events are not addressed by information technology, there is a risk of making considerable investment without the expected return of error reduction and improved patient safety. Improving the safety of prescribing ...
متن کاملThe effect of provider characteristics on the responses to medication-related decision support alerts
BACKGROUND Improving the quality of prescribing and appropriate handling of alerts remains a challenge for design and implementation of clinical decision support (CDS) and comparatively little is known about the effects that provider characteristics have on how providers respond to medication alerts. OBJECTIVES To investigate the relationship between provider characteristics and their respons...
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عنوان ژورنال:
- AMIA ... Annual Symposium proceedings. AMIA Symposium
دوره شماره
صفحات -
تاریخ انتشار 2005