A clinical case of electronic health record drug alert fatigue: consequences for patient outcome

Despite advances in electronic medication order entry systems, it has been well established that clinicians override many drug allergy alerts generated by the electronic health record. The direct clinical consequences of overalerting clinicians in a pediatric setting have not been well demonstrated...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2013-06, Vol.131 (6), p.e1970-e1973
Main Authors: Carspecken, C William, Sharek, Paul J, Longhurst, Christopher, Pageler, Natalie M
Format: Article
Language:English
Subjects:
Allergies
Case studies
Child, Preschool
Computerized physician order entry
Decision support software
Decision support systems
Decision Support Systems, Clinical
Diagnosis, Differential
Drug allergy
Drug Hypersensitivity
Electronic Health Records
Electronic records
Evidence-Based Medicine
Fatigue
Humans
Male
Medical Order Entry Systems
Medication Errors
Pediatric pharmacology
Pediatrics
Pharmaceuticals
Practice Patterns, Physicians
Quality management
Side effects
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Summary:Despite advances in electronic medication order entry systems, it has been well established that clinicians override many drug allergy alerts generated by the electronic health record. The direct clinical consequences of overalerting clinicians in a pediatric setting have not been well demonstrated in the literature. We observed a patient in the PICU who experienced complications as a result of an extended series of non-evidence-based alerts in the electronic health record. Subsequently, evidence-based allergy alerting changes were made to the hospital's system. Incorporating clinical evidence in electronic drug allergy alerting systems remains challenging, especially in pediatric settings.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2012-3252