U.S. Department of Health & Human Services
Computerized Provider Order Entry (CPOE)
PATIENT SAFETY PRIMERS
Computerized Provider Order Entry
Device-related Complications (5)
Diagnostic Errors (2)
Identification Errors (10)
Discontinuities, Gaps, and Hand-Off Problems (17)
Medication Safety (315)
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Epidemiology of Errors and Adverse Events (122)
Active Errors (86)
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Approach to Improving Safety
Computerized Provider Order Entry (CPOE)
Health Care Providers (260)
Health Care Executives and Administrators (301)
Non-Health Care Professionals (275)
Setting of Care
Psychiatric Facilities (1)
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Ambulatory Care (54)
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In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
Health agency: drug errors still common.
Knox R. "All Things Considered." National Public Radio. July 20, 2006.
Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.
Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.
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.
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Palchuk MB, Fang EA, Cygielnik JM, et al. J Am Med Inform Assoc. 2010;17:472-476.
Comparison of methods for identifying patients at risk of medication-related harm.
van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
Year in review: medication mishaps in the elderly.
Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.
Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.
Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.
Overrides of medication-related clinical decision support alerts in outpatients.
Nanji KC, Slight SP, Seger DL, et al. J Am Med Inform Assoc. 2014;21:487-491.
Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.
Ranji SR, Rennke S, Wachter RM. BMJ Qual Saf. 2014;23:773-780.
Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.
Woods AD, Mulherin DP, Flynn AJ, Stevenson JG, Zimmerman CR, Chaffee BW. J Am Med Inform Assoc. 2014;21:569-573.
Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.
Cresswell KM, Bates DW, Williams R, et al. J Am Med Inform Assoc. 2014 Jan 15; [Epub ahead of print].
Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing.
Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Int J Clin Pharm. 2013;35:847-853.
ACOG Committee opinion #531: improving medication safety.
ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians-Gynecologists. Obstet Gynecol. 2012;120:406-410.
Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Phansalkar S, van der Sijs H, Tucker AD, et al. J Am Med Inform Assoc. 2013;20:489-493.
Reported medication errors after introducing an electronic medication management system.
Redley B, Botti M. J Clin Nurs. 2013;22:579-589.
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.
Potential medication errors associated with computer prescriber order entry.
Villamañán E, Larrubia Y, Ruano M, et al. Int J Clin Pharm. 2013;35:577-583.
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Westbrook JI, Baysari MT, Li L, Burke R, Richardson KL, Day RO. J Am Med Inform Assoc. 2013;20:1159-1167.
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