Table 3.
Interruptive nonopioid and opioid drug alerts: relative risk of override stratified by provider type and alert type in a random sample of 1 alert per patient visit.
n=1,576 | Opioid Overrides, % (n) | Nonopioid Overrides, % (n) | Relative Risk | 95% CI |
---|---|---|---|---|
Overall total | 95.7 (628) | 89.7 (818) | 1.35 | 1.21–1.50 |
Provider type | ||||
Pharmacist | 97.6 (80) | 89.4 (236) | 1.25 | 1.11–1.40 |
PA | 97.0 (64) | 89.2 (58) | 1.64 | 1.10–2.43 |
RN | 90.7 (49) | 98.6 (70) | 0.28 | 0.05–1.71 |
Physician | 96.6 (200) | 91.1 (164) | 1.54 | 1.15–2.07 |
Resident | 94.8 (219) | 87.3 (289) | 1.37 | 1.16–1.61 |
Other* | 100 (2) | 94.1 (16) | 1.13 | 0.96–1.32 |
Alert type | ||||
Duplicate therapy | 98.6 (342) | 94.3 (377) | 1.57 | 1.30–1.89 |
Duplicate med order | 98.9 (93) | 91.5 (246) | 1.32 | 1.19–1.47 |
Drug allergy | 87.4 (153) | 58.1 (68) | 2.24 | 1.74–2.89 |
Drug-drug interaction | 100 (2) | 97.6 (41) | 1.05 | 0.98–1.12 |
Lactation/pregnancy | All alerts overridden; n=46 nonopioids, n=24 opioids | |||
Other | All alerts overridden; n=57 nonopioids, n=3 opioids |
PA, Physician assistant; RN, registered nurse.
“Other” includes anesthesiology assistants, technicians, medical students, and respiratory therapists.