Improving override rates for 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. We developed a selective knowledge base of only clinically significant drug alerts and designated only critical-high severity alerts to be interruptive to clinici...

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Bibliographic Details
Published inAMIA ... Annual Symposium proceedings Vol. 2005; p. 1110
Main Authors Shah, Nidhi R, Seger, Andrew C, Seger, Diane L, Fiskio, Julie M, Kuperman, Gilad J, Blumenfeld, Barry, Recklet, Elaine G, Bates, David W, Gandhi, Tejal K
Format Journal Article
LanguageEnglish
Published United States American Medical Informatics Association 2005
Subjects
Ambulatory Care Information Systems
Attitude to Computers
Drug Prescriptions
Drug Therapy, Computer-Assisted
Humans
Knowledge Bases
Medical Order Entry Systems
Medical Records Systems, Computerized
Medication Errors - prevention & control
Reminder Systems
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Summary: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.
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ISSN:1559-4076