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 clinician workflow (a tiered approach). Using this approach, we were able to achieve a 67% clinician accept rate for ambulatory computerized prescribing alerts.
Shah
Nidhi R
NR
Brigham and Women's Hospital, Boston, MA, USA.
Seger
Andrew C
AC
Seger
Diane L
DL
Fiskio
Julie M
JM
Kuperman
Gilad J
GJ
Blumenfeld
Barry
B
Recklet
Elaine G
EG
Bates
David W
DW
Gandhi
Tejal K
TK
D000555:Ambulatory Care Information Systems; D001292:Attitude to Computers; D011307:Drug Prescriptions; D004360:Drug Therapy, Computer-Assisted; D006801:Humans; D051188:Knowledge Bases; D050316:Medical Order Entry Systems; D016347:Medical Records Systems, Computerized; D008508:Medication Errors / Q000517:prevention & control; D017010:Reminder Systems