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J Am Med Inform Assoc 15:620-626 doi:10.1197/jamia.M2453
  • Original Investigation

Evaluating Clinical Decision Support Systems: Monitoring CPOE Order Check Override Rates in the Department of Veterans Affairs' Computerized Patient Record System

Table 2

Results for Total Order Checks Generated, Drug-Drug and Drug-Allergy Order Checks Comparing 2001 to 2006.

Total High Severity Order Checks 2001 2006 p
Total orders 42,621 37,040
Number of high severity order checks 215 908
% of total orders with high severity order checks 215/42,621 0.5% 908/37,040 2.5% <0.0001
Drug-Drug Order Checks
 Total orders with order checks (108) 85
 Signed orders 95 74
 % Overridden (95/108 88%) 74/85 87% 0.85
 % of total orders with order checks (108/42,621 0.25%) 85/37,040 0.23% 0.49
Drug-Allergy Order Checks
 Total orders with order checks 105 420
 Signed Orders 72 341
 % Overridden 72/105 69% 341/420 81% 0.005
 % total orders with order checks 105/42,621 0.25% 420/37,040 1.13% <0.0001
  • For drug-drug order checks, the results are in parentheses because in the 2001 study, order checks were counted rather than distinct orders.

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