Applied Clinical Informatics, Table of Contents Appl Clin Inform 2010; 01(01): 68-78DOI: 10.4338/ACI-2010-03-CR-0021 Case Report Schattauer GmbH AMDIS Case Conference Intrusive Medication Safety Alerts J. Graham 1 Dearborn Advisors, Elmhurst IL, USA 2 Palo Alto Foundation Medical Group, Palo Alto, CA, USA , D. Levick 3 Lehigh Valley Health Network, Allentown, PA, USA , R. Schreiber 4 Holy Spirit Health Systems, Camp Hill, PA, USA › Author Affiliations Recommend Article Abstract Full Text PDF Download Keywords KeywordsElectronic prescribing - safety management - medication errors/prevention & control - medical order entry systems - decision support - clinical systems References References 1 Schedlbauer A, Prasad V, Mulvaney C, Phansalkar S, Stanton W, Bates DW. et al. What evidence supports the use of computerized alerts and prompts to improve clinicians’ prescribing behavior?. J Am Med Inform Assoc 2009; 16: 531-538. PubMed PMID: 19390110. 2 Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success.. BMJ 2005; 330: 765-72. PubMed PMID: 15767266. 3 Classen DC. Clinical decision support systems to improve clinical practice and quality of care.. JAMA 1998; 280: 1360-1361. PubMed PMID: 9794318. 4 Johnson KB, FitzHenry F. Case report: activity diagrams for integrating electronic prescribing tools into clinical workflow.. J Am Med Inform Assoc 2006; 13: 391-395. PubMed PMID: 16622168. 5 Hsieh TC, Kuperman GJ, Jaggi T, Hojnowski-Diaz P, Fiskio J, Williams DH. et al. Characteristics and consequences of drug allergy alert overrides in a computerized physician order entry system.. J Am Med Inform Assoc 2004; 11: 482-91. PubMed PMID: 15298998. 6 Teich JM, Osheroff JA, Pifer EA, Sittig DF, Jenders RA. Clinical decision support in electronic prescribing: recommendations and an action plan.. J Am Med Inform Assoc 2005; 12: 365-376. PubMed PMID: 15802474. 7 Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.. J Am Med Inform Assoc 2004; 11: 104-112. PubMed PMID: 14633936. 8 Karsh BT. Beyond usability: designing effective technology implementation systems to promote patient safety.. Qual Saf Health Care 2004; 13: 388-394. PubMed PMID: 15465944. 9 Piechowski R. Making CPOE work: redesign workflows to optimize benefits.. PSQH. 2006 Mar/Apr [Cited 2009 Dec 16]; [about 2p.]. Available from http://www.psqh.com/marapr06/cpoe.html. 10 Kaplan B, Harris-Salamone KD. Health IT success and failure: recommendations from literature and an AMIA workshop.. J Am Med Inform Assoc 2009; 16: 291-299. PubMed PMID: 19261935. 11 van der Sijs H, Aarts J, van Gelder T, Berg M, Vulto A. Turning off frequently overridden drug alerts: limited opportunities for doing it safely.. J Am Med Inform Assoc 2008; 15: 439-448. PubMed PMID: 18436915. 12 Osheroff JA. (editor). Improving medication use and outcomes with clinical decision support: a step-by-step guide, 1st ed.. Chicago: HIMSS; 2009. p. 2 13 Schreiber R, Knapp J. Premature condemnation of clinical decision support as a useful tool for patient safety in computerized provider order entry.. J Am Ger Soc 2009; 57: 1941-1942. PubMed PMID: 19807798. 14 Miller RA, Waitman LR, Chen S, Rosenbloom ST. The anatomy of decision support during inpatient care provider order entry (CPOE): empirical observations from a decade of CPOE experience at Vanderbilt.. J Bio Inform 2005; 38: 469-485. PubMed PMID: 16290243. 15 Schreiber R. Case Study: Successful integration of Zynx order sets into Eclipsys CPOE at Holy Spirit Health System [Internet].. Santa Monica: Zynx, Inc; 2008 [Cited 2009 Dec 16] Available from http://www.zynxhealth.com/Newsletters/EyeOnZynx/20080804/Features/CaseStudy/HolySpirit.htm.