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. 2005:2005:1110.

Improving override rates for computerized prescribing alerts in ambulatory care

Nidhi R Shah  1 , Andrew C Seger, Diane L Seger, Julie M Fiskio, Gilad J Kuperman, Barry Blumenfeld, Elaine G Recklet, David W Bates, Tejal K Gandhi
Affiliations

Improving override rates for computerized prescribing alerts in ambulatory care

Nidhi R Shah et al. AMIA Annu Symp Proc. 2005.

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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References

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    1. Weingart SN, Toth M, Sands DZ. Physicians’ decision to override computerized drug alerts in primary care. Arch Inter Med. 2003;163:2625–2631. - PubMed

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