Weight-based pediatric prescribing in ambulatory setting.

Building on a foundation of a dose-based ambulatory prescribing system, an advanced weight-based pediatric prescribing module was successfully implemented. It provides a complete solution for calculating a dispensable dose and choosing optimal drug strength and form.

Improving override rates for computerized prescribing alerts in ambulatory care.

Computerized drug prescribing alerts can improve patient safety, but are often overridden because of poor specificity and alert overload. We developed a selective knowledge base of only clinically significant drug alerts and designated only critical-high severity alerts to be interruptive to clinician workflow (a tiered approach). Using this approach, we were able to achieve a 67% clinician accept rate for ambulatory computerized prescribing alerts.

Implementing renal impairment and geriatric decision support in ambulatory e-prescribing.

An advanced decision support system for prescribing to patients with renal impairment and geriatric patients was successfully implemented in an ambulatory electronic medical record (EMR) system.

Improving acceptance of computerized prescribing alerts in ambulatory care.

Computerized drug prescribing alerts can improve patient safety, but are often overridden because of poor specificity and alert overload. Our objective was to improve clinician acceptance of drug alerts by designing a selective set of drug alerts for the ambulatory care setting and minimizing workflow disruptions by designating only critical to high-severity alerts to be interruptive to clinician workflow. The alerts were presented to clinicians using computerized prescribing within an electronic medical record in 31 Boston-area practices.