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Abstract
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.
- electronic health record
- drug allergy
- alert fatigue
- pediatrics
- clinical decision support systems
- override
- quality improvement
- adverse drug event
- ADE —
- adverse drug event
- CDSS —
- clinical decision support systems
- EHR —
- electronic health record
- Accepted January 30, 2013.
- Copyright © 2013 by the American Academy of Pediatrics
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