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Second, it is possible that high-frequency overriders substantially contributed to the increase override rate.
Despite enhancing the drug-drug interaction knowledge database, the alert override rate of this system was very high.
There are three possible reasons for this high override rate.
It is uncertain what the optimal override rate should be.
This group had an average override rate of 70%.
First, the override rate may differ depending on the clinical setting.
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On classifying the providers into the top 25 overriders (high-frequency overriders) and the remaining overriders (low-frequency overriders), the override rates were 95.0% and 78.9%, respectively.
The reviewers were aware that they could be reviewing frequent overriders, but they did not know the override rates for individual providers.
Physicians with low frequency override rates had higher levels of appropriateness for metformin than the high frequency overriders (P = 0.005).
To measure critical order check override rates in VA Puget Sound Health Care System's computerized practitioner order entry (CPOE) system and to compare 2006 results to a similar 2001 study.
For example, it would be possible to turn alerts on and off to see the effect on override rates.
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