Evaluation of medication-related clinical decision support alert overrides in the intensive care unit

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Overrides of medication-related clinical decision support alerts in outpatients

BACKGROUND Electronic prescribing is increasingly used, in part because of government incentives for its use. Many of its benefits come from clinical decision support (CDS), but often too many alerts are displayed, resulting in alert fatigue. OBJECTIVE To characterize the override rates for medication-related CDS alerts in the outpatient setting, the reasons cited for overrides at the time of...

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Advanced Pervasive Clinical Decision Support for the Intensive Care Unit

Clinical decision support systems (CDSS) already have proven their use in supporting physicians and nurses in their daily responsibilities. However the uptake of these systems remains low. This is due to a number of reasons, such as little to no integration within the workflow of the medical staff, a multitude of available devices and a large amount of medical data that has to be processed. Thi...

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Overrides of Clinical Decision Support Alerts in Primary Care Clinics

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 downloa...

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Bates DW. Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit. BMJ Quality and Safety 2018, ePub ahead of print

Introduction Clinical decision support (CDS) displayed in electronic health records (EHRs) has been found to reduce the incidence of medication errors and adverse drug events (ADEs). Recent data suggested that medication-related CDS alerts were frequently overridden, often inappropriately. Patients in the intensive care unit (ICU) are at an increased risk of ADEs; however, limited data exist on...

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the effect of clinical supervision model on high alert medication safety in intensive care units nurses

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ژورنال

عنوان ژورنال: Journal of Critical Care

سال: 2017

ISSN: 0883-9441

DOI: 10.1016/j.jcrc.2017.02.027