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. 2018 Mar 23;27(9):725–736. doi: 10.1136/bmjqs-2017-007135

Table 1.

Levels of CDS relating to error prevention and the associated impact on prescriber workflow

Level of CDS Description Impact on workflow
5 Restricted The prescriber is prevented from proceeding with the prescription with a hard-stop alert. Interruptive
4 Permitted An alert appears where a reason needs to be given by the prescriber to over-ride it in order to progress. Interruptive
3 Guided Elements of the prescription order are auto-populated for the prescriber (eg, dose, frequency, route). Interruptive/
passive*
2 Alert An alert appears, but the prescriber does not need to over-ride this with adding a reason in order to progress. Passive
1 None No CDS appears at the point of prescribing. None

*Passive if the guided decision support is accepted, or interruptive if it is over-ridden.

CDS, clinical decision support.