At our institution, we have constructed a method to annotate prescriptions automatically, called ‘‘Show Your Work”
(SYW). This process adds notes below each medication order to describe any decision support warnings that were displayed at the
time of prescribing, any overrides to drug alerts provided by the prescriber during the session, and any dose calculations for pediatric
prescriptions. Show Your Work also notes when specific tasks
were done manually or could not be accomplished.
Although qualitative data presented here were in support of the
continued exploration of SYW functionality in e-prescribing systems,
we found no significant change in the callback rates in our
randomized trial. There are several factors that may account for
this.