Title
Overrides of Clinical Decision Support Alerts in Primary Care Clinics.
Abstract
Clinical Decision Support (CDS) systems can alert physicians about potential clinical risks and suggest suitable treatment alternatives at appropriate times in the health care process. We evaluated the frequency with which physicians overrode medication alerts and the override reasons provided. Data obtained from primary care practices affiliated with two Harvard teaching hospitals were downloaded. Physicians overrode more than half of CDS medication alerts, with formulary, age-based, and renal substitutions the most likely. Many drug-drug and drug-allergy interactions overridden had the potential to cause patient harm.
Year
DOI
Venue
2013
10.3233/978-1-61499-289-9-923
Studies in Health Technology and Informatics
Keywords
Field
DocType
Clinical decision support systems,electronic prescribing,decision-making,primary health care
Health care,Harm,Primary care,Medical emergency,Clinical decision support system,Medicine,Formulary
Conference
Volume
ISSN
Citations 
192
0926-9630
2
PageRank 
References 
Authors
0.51
0
6
Name
Order
Citations
PageRank
Sarah P Slight16719.57
Karen C. Nanji27410.12
Diane L. Seger313328.41
InSook Cho48115.55
Lynn A. Volk525541.29
David W. Bates61333246.75