An urgent need exists to improve the accuracy and relevance of drug allergy safety alerts issued through computerized provider order entry systems, according to an AHRQ study. The improvements are needed to reduce the rate of alert overrides by clinicians who may be subject to “alert fatigue,” or becoming desensitized to safety alerts by either ignoring or failing to respond appropriately to them. Based on more than 611,000 drug allergy alert records from 2004 to 2013 at two large Boston academic hospitals, the study found that alerts for two serious reactions were overridden about three-quarters of the time. “Rising Drug Allergy Alert Overrides in Electronic Health Records: An Observational Retrospective Study of a Decade of Experience” and abstract were published in the Journal of the American Medical Informatics Association.
J Am Med Inform Assoc. 2015 Nov 17. pii: ocv143. doi: 10.1093/jamia/ocv143. [Epub ahead of print]
Rising drug allergy alert overrides in electronic health records: an observational retrospective study of a decadeof experience.
Topaz M1, Seger DL2, Slight SP3, Goss F4, Lai K5, Wickner PG5, Blumenthal K6, Dhopeshwarkar N5, Chang F5, Bates DW7, Zhou L8.
MATERIALS AND METHODS:
DISCUSSION AND CONCLUSIONS:
Published by Oxford University Press on behalf of the American Medical Informatics Association 2015. This work is written by US Government employees and is in the public domain in the US.
alert fatigue; allergy; decision support systems–clinical; electronic health records; electronic prescribing; hospital; medication systems
- [PubMed - as supplied by publisher]