We often complain that the clinical information systems that we use provide too many alerts for meaningless drug interactions, duplicate therapy alerts that are therapeutically justified or a dosing alert that doesn't truly understand how dosing in pediatrics actually works. These are the challenges that we face everyday in working with these systems, however what is the alternative?
A recent report published by the Leapfrog group analyzed how well a CPOE system performed when providing clinical decision alerts for common medication orders. The survey tested 10,447 medication orders known to contain a medical error and found that 52% of the adult orders passed through the system without providing any alert and 42% of the pediatric orders passed without any alerting. Additionally, the report showed that approximately 33% of the errors could be fatal errors.
I guess before we complain that our systems are providing "too many" alerts, we better make sure that they're providing enough...
A recent report published by the Leapfrog group analyzed how well a CPOE system performed when providing clinical decision alerts for common medication orders. The survey tested 10,447 medication orders known to contain a medical error and found that 52% of the adult orders passed through the system without providing any alert and 42% of the pediatric orders passed without any alerting. Additionally, the report showed that approximately 33% of the errors could be fatal errors.
I guess before we complain that our systems are providing "too many" alerts, we better make sure that they're providing enough...
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