We have found that during order entry, even if a patient has an exact match allergy to the medication, the alert is buried down the list within other "duplicate therapy" and other less severe clinical monitoring. I am suggesting the IMMEDIATE change that the ALLERGY alerts be at the TOP of the list, in BOLD, and in RED. And/or that they require a special override. This is a huge patient safety issue and should be a top priority for protecting patients and clinical staff.
The clinical monitoring/override screens are not user friendly - most users don't understand what the screen is or how to look for the reason for the alerts because they don't draw attention. I hear often 'what is this screen'?
Or even add a step to require a password (similar to meds w/ 2 nurse signature sign-off required) to the process when a med is selected that is an exact match allergy.