S.P. Slight
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.
Authors
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
Patients' perceptions and experiences of patient safety in primary care in England
(2016)
Journal Article
Downloadable Citations
About Durham Research Online (DRO)
Administrator e-mail: dro.admin@durham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search