Table 4.

Sample questions and recommendations to help HCOs get started with the Computer-based Order Entry with Clinical Decision Support SAFER guide.

Mitigation / Prevention	Key questions	SAFER recommendation	Key stakeholders
Mitigation	Is critical patient information (e.g., age, weight, allergies, pregnancy status, creatinine clearance/GFR) visible during the order entry process?	Pertinent clinical information and identifying patient information is easily accessible from the ordering screen (e.g., in a patient header bar, on the ordering screen, from a hide/show panel).	Clinicians, pharmacy, laboratory, IT
Prevention	Are clinicians trained and tested on CPOE operations before being issued login credentials?	Clinicians are required to demonstrate basic CPOE skills before getting their login credentials and training is reinforced periodically, particularly with system changes and upgrades.	IT, Clinicians, Administration
Prevention	Are key safety-related metrics (e.g., override rates) defined, monitored, and acted on to optimize patient safety?	■ Key CPOE and CDS safety indicators are monitored and reported to leadership: ■ CPOE use rate ■ Frequency (i.e., volume) of orders that generate an alert ■ Override rate (i.e., % of alerts that are overridden) ■ Alerts with the highest % of overrides	Clinicians, Administration, IT