AHRQ Patient Safety Network

The Collection > Computerized Provider Order Entry (CPOE)

PATIENT SAFETY PRIMERS
Computerized Provider Order Entry

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•Device-related Complications (5)

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•Identification Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Medication Safety (252)

•Medical Complications (11)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (8)

•Transfusion Complications (3)

•Psychological and Social Complications (3)

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•Asia (5)

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•Clinical Guideline (1)

•Journal Article (255)

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•Newspaper/Magazine Article (33)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (83)

•Active Errors (53)

•Latent Errors (17)

•Near Miss (3)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (188)

•Nursing (14)

•Pharmacy (104)

Target Audience

•Health Care Providers (199)

•Health Care Executives and Administrators (234)

•Non-Health Care Professionals (195)

•Patients (12)

Setting of Care

•Hospitals (202)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (33)

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1 - 20 of 314

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STUDY

Impact of vendor computerized physician order entry in community hospitals.

Leung AA, Keohane C, Amato M, et al. J Gen Intern Med. 2012;27:801-807.

STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

STUDY

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.

REVIEW

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

Radley DC, Wasserman MR, Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B. J Am Med Inform Assoc. 2013;20:470-476.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

NEWSPAPER/MAGAZINE ARTICLE

Information technology may not be 'it' for patient safety.

Greene J. Trustee. February 2006;59:6-10.

AWARD RECIPIENT

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

COMMENTARY

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

Kilbridge PM, Welebob EM, Classen DC. Qual Saf Health Care. 2006;15:81-84.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

U.S. adoption of computerized physician order entry systems.

Cutler DM, Feldman NE, Horwitz JR. Health Aff (Millwood). 2005;24:1654-1663.

REVIEW

Evaluation and certification of computerized physician order entry systems.

Classen D, Avery AJ, Bates DW. J Am Med Inform Assoc. 2007;14:48-55.

STUDY

The extent and importance of unintended consequences related to computerized provider order entry.

Ash JS, Sittig DF, Poon EG, Guappone K, Campbell E, Dykstra RH. J Am Med Inform Assoc. 2007;14:415-423.

NEWSPAPER/MAGAZINE ARTICLE

The key to CPOE.

Ross C, Banchy P. Health Manage Tech. November 2007;28:22-24.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

STUDY

Impact of a pharmacotherapy alerting system on medication errors.

Natali BJ, Varkey AC, Garey KW, Liebl M. Am J Health Syst Pharm. 2013;70:48-52.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013;20:e85-e90.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

AWARD RECIPIENT

Improving patient safety using interactive, evidence-based decision support tools.

Quinn MM, Mannion J. Jt Comm J Qual Patient Saf. 2005;31:678-683.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

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