Benchmarking for ADC Overrides

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Brandy Rachelle...
Brandy Rachelle Hopkins's picture
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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!