Literature DB >> 16779397

Improving override rates for computerized prescribing alerts in ambulatory care.

Nidhi R Shah1, Andrew C Seger, Diane L Seger, Julie M Fiskio, Gilad J Kuperman, Barry Blumenfeld, Elaine G Recklet, David W Bates, Tejal K Gandhi.   

Abstract

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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Year:  2005        PMID: 16779397      PMCID: PMC1560718     

Source DB:  PubMed          Journal:  AMIA Annu Symp Proc        ISSN: 1559-4076


  2 in total

1.  Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

Authors:  D W Bates; L L Leape; D J Cullen; N Laird; L A Petersen; J M Teich; E Burdick; M Hickey; S Kleefield; B Shea; M Vander Vliet; D L Seger
Journal:  JAMA       Date:  1998-10-21       Impact factor: 56.272

2.  Physicians' decisions to override computerized drug alerts in primary care.

Authors:  Saul N Weingart; Maria Toth; Daniel Z Sands; Mark D Aronson; Roger B Davis; Russell S Phillips
Journal:  Arch Intern Med       Date:  2003-11-24
  2 in total
  9 in total

1.  Medication safety and knowledge-based functions: a stepwise approach against information overload.

Authors:  Andrius Patapovas; Harald Dormann; Brita Sedlmayr; Melanie Kirchner; Anja Sonst; Fabian Müller; Barbara Pfistermeister; Bettina Plank-Kiegele; Renate Vogler; Renke Maas; Manfred Criegee-Rieck; Hans-Ulrich Prokosch; Thomas Bürkle
Journal:  Br J Clin Pharmacol       Date:  2013-09       Impact factor: 4.335

Review 2.  Electronic prescribing in pediatrics: toward safer and more effective medication management.

Authors:  Kevin B Johnson; Christoph U Lehmann
Journal:  Pediatrics       Date:  2013-03-25       Impact factor: 7.124

3.  Potential drug-drug interactions and admissions due to drug-drug interactions in patients treated in medical departments.

Authors:  Nina Fokter; Martin Mozina; Miran Brvar
Journal:  Wien Klin Wochenschr       Date:  2010-02       Impact factor: 1.704

4.  Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Authors:  Allison M Miller; Maureen S Boro; Nancy E Korman; J Ben Davoren
Journal:  J Am Med Inform Assoc       Date:  2011-10-28       Impact factor: 4.497

5.  Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

Authors:  Tosha B Wetterneck; James M Walker; Mary Ann Blosky; Randi S Cartmill; Peter Hoonakker; Mark A Johnson; Evan Norfolk; Pascale Carayon
Journal:  J Am Med Inform Assoc       Date:  2011-07-29       Impact factor: 4.497

6.  Improving electronic oral chemotherapy prescription: can we build a safer system?

Authors:  Saul N Weingart; Thea Mattsson; Junya Zhu; Lawrence N Shulman; Michael Hassett
Journal:  J Oncol Pract       Date:  2012-09-25       Impact factor: 3.840

7.  Clinically Inconsequential Alerts: The Characteristics of Opioid Drug Alerts and Their Utility in Preventing Adverse Drug Events in the Emergency Department.

Authors:  Emma K Genco; Jeri E Forster; Hanna Flaten; Foster Goss; Kennon J Heard; Jason Hoppe; Andrew A Monte
Journal:  Ann Emerg Med       Date:  2015-11-06       Impact factor: 5.721

8.  Development of a context model to prioritize drug safety alerts in CPOE systems.

Authors:  Daniel Riedmann; Martin Jung; Werner O Hackl; Wolf Stühlinger; Heleen van der Sijs; Elske Ammenwerth
Journal:  BMC Med Inform Decis Mak       Date:  2011-05-25       Impact factor: 2.796

9.  A Framework for Usable and Effective Clinical Decision Support: Experience from the iCPR Randomized Clinical Trial.

Authors:  Joseph Kannry; Lauren McCullagh; Andre Kushniruk; Devin Mann; Daniel Edonyabo; Thomas McGinn
Journal:  EGEMS (Wash DC)       Date:  2015-07-09
  9 in total

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