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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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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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creator	Carspecken, C William Sharek, Paul J Longhurst, Christopher Pageler, Natalie M
description	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.
doi_str_mv	10.1542/peds.2012-3252
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source	Free E-Journal (出版社公開部分のみ）
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
title	A clinical case of electronic health record drug alert fatigue: consequences for patient outcome
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