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 (6)

•Diagnostic Errors (3)

•Identification Errors (10)

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

•Medication Safety (307)

•Medical Complications (10)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (9)

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•Psychological and Social Complications (4)

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•Clinical Guideline (1)

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•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

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Error Types

•Epidemiology of Errors and Adverse Events (105)

•Active Errors (84)

•Latent Errors (24)

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Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (220)

•Nursing (20)

•Pharmacy (128)

Target Audience

•Health Care Providers (250)

•Health Care Executives and Administrators (283)

•Non-Health Care Professionals (244)

•Patients (12)

Setting of Care

•Hospitals (229)

•Psychiatric Facilities (1)

•Residential Facilities (8)

•Ambulatory Care (40)

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1 - 20 of 374

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STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

STUDY

Computerized clinical decision support during medication ordering for long-term care residents with renal insufficiency.

Field TS, Rochon P, Lee M, Gavendo L, Baril JL, Gurwitz JH. J Am Med Inform Assoc. 2009;16:480-485.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

NEWSPAPER/MAGAZINE ARTICLE

The right dose of technology helps the medicine go down.

Patton S. CIO Magazine. November 1, 2005.

STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

STUDY

Designing decision support for insulin ordering in a computerized provider order entry system.

Wright L, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:158–161.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

Chemotherapy dose limits set by users of a computer order entry system.

DuBeshter B, Griggs J, Angel C, Loughner J. Hosp Pharm. 2006;41:136-142.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

STUDY

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

A cognitive task analysis of information management strategies in a computerized provider order entry environment.

Weir CR, Hicken BL, Nebeker J, et al. J Am Med Inform Assoc. 2007;14:65-75.

STUDY

Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.

Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.

STUDY

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

Grossman JM, Cross DA, Boukus ER, Cohen GR. J Am Med Inform Assoc. 2012;19:353-359.

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