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PSNet: Patient Safety Network
Journal Article
Study

Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care.

Chin DL, Wilson MH, Trask AS, et al. J Med Syst. 2020;44(10):185.

Clinical decision support (CDS) alerts can improve patient safety, and prior research suggests that monitoring alert overrides can identify errors. The researchers describe a novel approach to using existing CDS systems to detect medication prescribing errors based on drug-drug interaction and allergy alert overrides. Dose alert overrides had high sensitivity to detect medication prescribing errors occurring in an inpatient setting.