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PSNet: Patient Safety Network
Journal Article

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

Balasuriya L, Vyles D, Bakerman P, et al. Journal of patient safety. 2017;13:144-148.

This before-and-after study found that introduction of a tiered alert system for medication dosages in pediatric patients led to an increase in alerts, but also resulted in fewer overridden alerts and more medication order revisions. This work emphasizes the need to improve electronic medication alerts to make them more actionable and reduce alert fatigue.