Benchmarking for ADC Overrides

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

4 posts / 0 new
Last post
Brandy Rachelle...
Brandy Rachelle Hopkins's picture
Offline
Last seen: 4 years 2 months ago
Joined: 09/20/2017 - 13:57
Benchmarking for ADC Overrides

Does anyone have benchmarking goals for ADC Overrides in different patient care areas? Our organization consistently has total overrides for the organization < 0.75% (excluding ED). Our parent organization expects to see < 2% for the facility (excluding ED), but we don't have any expectation on the unit level.

Our critical care areas have higher override rates (ranging 0.64-4.52%). Because this is our first month to have a pharmacist in the ED, we are looking for best practices for ADC overrides in that department as well as other critical care units. About 6 months ago, we turned off the "auto-verify" function in the EHR for the ED. Our current ADC override rate in the ED is 37% (but we have not made any efforts to tighten their practices, or limit the number of medications allowed on override until now).

Can you share your facilities expectations for ADC overrides for critical care and ED? And if your ADC override rate is < 5% for the ED, what does your pharmacist coverage look like? What percent of patients have orders verified by a pharmacist as opposed to auto-verify?

Thank you for your help!