What question did this study set out to answer?

To evaluate the appropriateness of overridden clinical decision support alerts within computerized physician order entry systems and identify targets to alleviate alert fatigue.

March 30, 2020SHILAP Revista de lepidopterologíaOpen Access

Appropriateness of Overridden Alerts in Computerized Physician Order Entry: Systematic Review

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Authors

TPTahmina Nasrin PolyTaipei Medical University MIMd. Mohaimenul IslamUniversity of the Punjab HYHsuan‐Chia YangTaipei Medical University Hospital

Discussion

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Implication

Systematic review shows high alert override rates and variable appropriateness in order entry systems, indicating key targets to reduce clinician alert fatigue.

Key Points

To evaluate the appropriateness of overridden clinical decision support alerts within computerized physician order entry systems and identify targets to alleviate alert fatigue.
Systematic review of literature assessing the frequency and clinical appropriateness of alert overrides in computerized physician order entry (CPOE) systems.
Categorized alert types and analyzed override justifications across clinical domains including interactions, dosing, and formulary restrictions.
Overall alert override rates were high across computerized order entry platforms.
Overrides for drug-drug interaction, renal dosing, and geriatric warning alerts were predominantly classified as clinically inappropriate.
Overrides for drug duplication, drug-allergy, and formulary alerts demonstrated high rates of appropriateness, marking them as primary targets for system revision.

Cite This Study

Poly et al. (2020) studied this question.

synapsesocial.com/papers/69da2aa2a6045d71bfa3c732 https://doi.org/10.2196/15653

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Implication

Systematic review shows high alert override rates and variable appropriateness in order entry systems, indicating key targets to reduce clinician alert fatigue.

Appropriateness of Overridden Alerts in Computerized Physician Order Entry: Systematic Review

Discussion

Member takes

Implication

Key Points

Cite This Study

Appropriateness of Overridden Alerts in Computerized Physician Order Entry: Systematic Review

Discussion

Member takes

Implication

Key Points

Cite This Study

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