Seeking to learn how other organizations with Cerner EHR have designed EHR alert settings for "therapeutic duplication" for various user roles. Could you describe your strategy for optimizing these alerts to trigger for clinically inappropriate duplications? Do the settings differ for medical staff vs. pharmacists?

For background, we have Cerner as our EHR, and recently ran into an issue with the therapy duplication mCDS alert settings. We want to limit the number of inappropriate therapy duplication alerts since in many cases these alerts are not applicable (there are many instances where multiple agents in the same class are prescribed together). One way of reducing the incidence of duplication alerts is by increasing the number of order repeats that will trigger the alert. However, this setting does not allow customization by user role, which is generating some discussion between medical and pharmacy staff regarding the safest setting to pursue while minimizing alert fatigue. Would appreciate any suggestions or words of wisdom. Thank you.