We have had various medication errors where the pharmacists have bypassed drug-disease alerts that they felt were insignificant, and upon investigation found that the prescribers never received the alerts. We asked that prescribers at our institution see the drug-disease state alerts (at least the high priority/contraindications), but our administration feels that the physicians already get too many alerts and that the pharmacists should determine which are important and require clarification. We have countered that we should minimize the drug-drug alerts the physician sees, since this is our area of expertise, rather than the drug-disease state alerts because our staff is limited to what is in the electronic health record and it is not always accurate. We are in the process of getting reports on what types and percentages they see vs. pharmacy.

I was wondering what other Epic institutions are doing with regards to alerts the prescribers see vs those the pharmacists see. Any input would be greatly appreciated.

Thank you!