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Slide Presentation from the AHRQ 2007 Annual Conference

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Are Overrides Appropriate?

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  • 7,761 drug-allergy alerts in BWH inpatients, Aug-Oct 2002
  • Alerts were overridden 80% of the time
  • In chart review of 300 overrides, all were clinically justified
    • Evidence that we are over-alerting
  • Only 6% of alerts were triggered by an exact match between drug ordered and drug in allergy list (lots of potential noise)

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