Skip to main content

Research Repository

Advanced Search

Overrides of Clinical Decision Support Alerts in Primary Care Clinics

Slight, S.P.; Nanji, K.C.; Seger, D.L.; Cho, I.; Volk, L.A.; Bates, D.W.

Overrides of Clinical Decision Support Alerts in Primary Care Clinics Thumbnail


Authors

S.P. Slight

K.C. Nanji

D.L. Seger

I. Cho

L.A. Volk

D.W. Bates



Contributors

Christoph Ulrich Lehmann
Editor

Elske Ammenwerth
Editor

Christian Nøhr
Editor

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.

Citation

Slight, S., Nanji, K., Seger, D., Cho, I., Volk, L., & Bates, D. (2013). Overrides of Clinical Decision Support Alerts in Primary Care Clinics. In C. U. Lehmann, E. Ammenwerth, & C. Nøhr (Eds.), Medinfo 2013 : proceedings of the 14th world congress on medical and health informatics (923-923). IOS Press. https://doi.org/10.3233/978-1-61499-289-9-923

Online Publication Date Aug 1, 2013
Publication Date Aug 1, 2013
Deposit Date Oct 29, 2013
Publicly Available Date Mar 29, 2024
Publisher IOS Press
Pages 923-923
Series Title Studies in health technology and informatics.
Book Title Medinfo 2013 : proceedings of the 14th world congress on medical and health informatics.
ISBN 9781614992882
DOI https://doi.org/10.3233/978-1-61499-289-9-923
Additional Information This book presents the proceedings of the MEDINFO 2013 conference, held in Copenhagen, Denmark, in August 2013. The theme of the conference is "Conducting medical informatics by converging technologies, conveying sciences and connecting people".

Files

Published Book Chapter (76 Kb)
PDF

Publisher Licence URL
http://creativecommons.org/licenses/by-nc/4.0/

Copyright Statement
© 2013 IMIA and IOS Press.
This article is published online with Open Access by IOS Press and distributed under the terms
of the Creative Commons Attribution Non-Commercial License.




You might also like



Downloadable Citations