0
Editor's Correspondence |

Overrides of Medication Alerts in Ambulatory Care

Stephen N. Rosenberg, MD, MPH; Maureen Sullivan, PharmD; Iver A. Juster, MD; Jeffrey Jacques, MD
Arch Intern Med. 2009;169(14):1336-1340. doi:10.1001/archinternmed.2009.224.
Text Size: A A A
Published online

Extract

Isaac et al,1 writing in the February 9, 2009, issue of the Archives, describe an important and disturbing situation in which the promise of electronic prescribing systems to protect patient safety has been only partially realized. We have encountered a similar situation, which encompasses both electronic and paper prescriptions, in a system that generates clinical alerts using pharmacy claims data for prescriptions that have recently been filled. We agree with the authors' point (and the article by Shah et al2 that they cite) that such systems can achieve better physician acceptance if they limit alerts to those with the highest clinical importance, thereby avoiding the initiation of “alert fatigue.” We have also found that adding other sources of information—medical and laboratory claims, test results, feedback from physicians, and self-reported data from patients who are enrolled in disease management or complete health risk assessments—appears to greatly increase the specificity and credibility of clinical alerts, and the number of clinicians who respond by discontinuing the use of potentially dangerous medications.3,4

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Dyschromia in skin of color. J Drugs Dermatol 2014;13(4):401-6.
Jobs
brightcove.createExperiences();