title: Preventing exacerbation of an ADE with automated decision support.
abstract: 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.
mesh_terms: 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