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Article: Characteristics of clinical decision support alert overrides in an electronic prescribing system at a tertiary care paediatric hospital

TitleCharacteristics of clinical decision support alert overrides in an electronic prescribing system at a tertiary care paediatric hospital
Authors
KeywordsClinical Decision Support Systems
Electronic Prescribing
Paediatrics
Issue Date2011
PublisherWiley-Blackwell. The Journal's web site is located at http://eu.wiley.com/WileyCDA/WileyTitle/productCd-IJPP.html
Citation
International Journal Of Pharmacy Practice, 2011, v. 19 n. 5, p. 363-366 How to Cite?
AbstractContext Electronic prescribing (EP) systems are advocated as a solution to minimise medication errors. Benefits in patient safety are often as a result of some clinical decision support (CDS) within the system. Objective To study the characteristics of the CDS alerts generated within a commercially available EP system in use at a tertiary care paediatric hospital in the UK. Methods Retrospective review and characterisation of CDS alerts recorded in the EP system over 1 year. Results A total of 16 182 conflict alerts were recorded when ordering 26 836 items, of which 3507 (13 alerts per 100 prescription orders (95% confidence interval, 12.8 to 13.6)) were visible to the user. Eighty nine percent (3119/3507) of all visible alerts were overridden by the user at point of prescribing. Drug-allergy conflict alerts were the most accepted, and exact drug duplication alerts the least. Conclusion We found a high incidence of alert override, which is undesirable but consistent with that reported in the literature. The results suggest that the underlying algorithms for alert generation in many EP systems are not specific and need to be reviewed. © 2011 Royal Pharmaceutical Society.
Persistent Identifierhttp://hdl.handle.net/10722/171430
ISSN
2015 SCImago Journal Rankings: 0.428
References

 

DC FieldValueLanguage
dc.contributor.authorJani, YHen_US
dc.contributor.authorBarber, Nen_US
dc.contributor.authorWong, ICKen_US
dc.date.accessioned2012-10-30T06:14:08Z-
dc.date.available2012-10-30T06:14:08Z-
dc.date.issued2011en_US
dc.identifier.citationInternational Journal Of Pharmacy Practice, 2011, v. 19 n. 5, p. 363-366en_US
dc.identifier.issn0961-7671en_US
dc.identifier.urihttp://hdl.handle.net/10722/171430-
dc.description.abstractContext Electronic prescribing (EP) systems are advocated as a solution to minimise medication errors. Benefits in patient safety are often as a result of some clinical decision support (CDS) within the system. Objective To study the characteristics of the CDS alerts generated within a commercially available EP system in use at a tertiary care paediatric hospital in the UK. Methods Retrospective review and characterisation of CDS alerts recorded in the EP system over 1 year. Results A total of 16 182 conflict alerts were recorded when ordering 26 836 items, of which 3507 (13 alerts per 100 prescription orders (95% confidence interval, 12.8 to 13.6)) were visible to the user. Eighty nine percent (3119/3507) of all visible alerts were overridden by the user at point of prescribing. Drug-allergy conflict alerts were the most accepted, and exact drug duplication alerts the least. Conclusion We found a high incidence of alert override, which is undesirable but consistent with that reported in the literature. The results suggest that the underlying algorithms for alert generation in many EP systems are not specific and need to be reviewed. © 2011 Royal Pharmaceutical Society.en_US
dc.languageengen_US
dc.publisherWiley-Blackwell. The Journal's web site is located at http://eu.wiley.com/WileyCDA/WileyTitle/productCd-IJPP.html-
dc.relation.ispartofInternational Journal of Pharmacy Practiceen_US
dc.subjectClinical Decision Support Systemsen_US
dc.subjectElectronic Prescribingen_US
dc.subjectPaediatricsen_US
dc.titleCharacteristics of clinical decision support alert overrides in an electronic prescribing system at a tertiary care paediatric hospitalen_US
dc.typeArticleen_US
dc.identifier.emailWong, ICK:wongick@hku.hken_US
dc.identifier.authorityWong, ICK=rp01480en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1111/j.2042-7174.2011.00132.xen_US
dc.identifier.pmid21899617-
dc.identifier.scopuseid_2-s2.0-80052555444en_US
dc.identifier.hkuros207198-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052555444&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume19en_US
dc.identifier.issue5en_US
dc.identifier.spage363en_US
dc.identifier.epage366en_US
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridJani, YH=6603352762en_US
dc.identifier.scopusauthoridBarber, N=7005001200en_US
dc.identifier.scopusauthoridWong, ICK=7102513915en_US
dc.identifier.citeulike9923991-

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