AHRQ Patient Safety Network

The Collection > Computerized Provider Order Entry (CPOE)

PATIENT SAFETY PRIMERS
Computerized Provider Order Entry

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (3)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Medication Safety (291)

•Medical Complications (10)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (10)

•Transfusion Complications (3)

•Psychological and Social Complications (4)

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•Asia (6)

•Australia and New Zealand (7)

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•Clinical Guideline (1)

•Journal Article (296)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (96)

•Active Errors (79)

•Latent Errors (24)

•Near Miss (3)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (215)

•Nursing (17)

•Pharmacy (126)

Target Audience

•Health Care Providers (240)

•Health Care Executives and Administrators (267)

•Non-Health Care Professionals (231)

•Patients (12)

Setting of Care

•Hospitals (228)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (41)

•Outpatient Surgery (1)

1 - 20 of 357

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REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

AWARD RECIPIENT

The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.

Washington, DC: Leapfrog Group; September 24, 2008.

STUDY

Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system.

Yang Z, Ng BY, Kankanhalli A, Yip JWL. Int J Hum Comput Stud. 2012;70:43-65.

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

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

STUDY

Intravenous infusion safety technology: return on investment.

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

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.

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

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

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

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

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