BACKGROUND Computerized order entry systems have the potential to prevent medication errors and decrease adverse drug events with the use of clinical-decision support systems presenting alerts to providers. Despite the large volume of medications prescribed in the outpatient setting, few studies have assessed the impact of automated alerts on medication errors related to drug-laboratory interac...

Background: Rheumatic heart disease is a condition in which the valves have been permanently damaged by rheumatic fever and high-alert medications. medications that are most likely to cause significant harm pregnant women, even when used as intended. Aim: This study aimed evaluate effect of nursing educational guideline regarding high alert medication for women suffering from diseases. Design: ...

OBJECTIVES To determine what information can be helpful in prioritizing and presenting medication alerts according to the context of the clinical situation. To assess the usefulness of different ways of delivering medication alerts to the user. DESIGN An international Delphi study with two quantitative rounds. 69 researchers with expertise in computerized physician order entry (CPOE) systems ...

BACKGROUND Although computerized physician order entry reduces medication errors among inpatients, little is known about the use of this system in primary care. METHODS We calculated the override rate among 3481 consecutive alerts generated at 5 adult primary care practices that use a common computerized physician order entry system for prescription writing. For detailed review, we selected a...

Background: Interruptive drug interaction alerts may reduce adverse drug events and are required for Stage I Meaningful Use attestation. For the last decade override rates have been very high. Despite their widespread use in commercial EHR systems, previously described interventions to improve alert frequency and acceptance have not been well studied. Objectives: (1) To measure override rates o...

BACKGROUND Interruptive drug interaction alerts may reduce adverse drug events and are required for Stage I Meaningful Use attestation. For the last decade override rates have been very high. Despite their widespread use in commercial EHR systems, previously described interventions to improve alert frequency and acceptance have not been well studied. OBJECTIVES (1) To measure override rates o...

Abbreviation use is a preventable cause of medication errors. The objective of this study was to test whether computerized alerts designed to reduce medication abbreviations and embedded within an electronic progress note program could reduce these abbreviations in the non-computer-assisted handwritten notes of physicians. Fifty-nine physicians were randomized to one of three groups: a forced c...

Developing methods to identify unusual clinical actions may be useful in the development of automated clinical alerting systems. We developed and evaluated a data-driven approach for identifying clinical actions such as omissions of medication orders or laboratory orders in the intensive care unit (ICU) that are unusual with respect to past patient care. We generated 250 medication-omission ale...

OBJECTIVE The main objective of this study was to assess the diagnostic performances of an alert system integrated into the CPOE/EMR system for renally cleared drug dosing control. The generated alerts were compared with the daily routine practice of pharmacists as part of the analysis of medication orders. MATERIALS AND METHODS The pharmacists performed their analysis of medication orders as...