Preventing exacerbation of an ADE with automated decision support.
This case demonstrates that, despite physician disregard of appropriate expert system warnings during computerized physician order entry, the distribution of alert "override" warnings to non-physician members of the clinical team can help avert adverse drug events.
D000328:Adult; D016907:Adverse Drug Reaction Reporting Systems; D016303:Clinical Pharmacy Information Systems; D020000:Decision Support Systems, Clinical; D004347:Drug Interactions; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007087:Illinois; D008508:Medication Errors / Q000517:prevention & control*; D019982:Organizational Case Studies; D012308:Risk Management / Q000379:methods*; D017751:Safety Management / Q000379:methods