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 (2)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Medication Safety (278)

•Medical Complications (10)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (9)

•Transfusion Complications (3)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (6)

Resource Types

•Clinical Guideline (1)

•Journal Article (280)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (95)

•Active Errors (79)

•Latent Errors (24)

•Near Miss (4)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (197)

•Nursing (19)

•Pharmacy (114)

Target Audience

•Health Care Providers (228)

•Health Care Executives and Administrators (248)

•Non-Health Care Professionals (213)

•Patients (11)

Setting of Care

•Hospitals (206)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (41)

•Outpatient Surgery (1)

1 - 20 of 337

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STUDY

Medication prescribing errors involving the route of administration.

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

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

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

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

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

Surprise Wire

Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

Effect of computerisation on the quality and safety of chemotherapy prescription.

Voeffray M, Pannatier A, Stupp R, et al. Qual Saf Health Care. 2006;15:418-421.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

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

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.

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

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

Galanter WL, Didomenico RJ, Polikaitis A. J Am Med Inform Assoc. 2005;12:269-274.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

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.

COMMENTARY classic

Principles of conservative prescribing.

Schiff GD, Galanter WL, Duhig J, Lodolce AE, Koronkowski MJ, Lambert BL. Arch Intern Med. 2011;171:1433-1440.

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.

NEWSPAPER/MAGAZINE ARTICLE

Drug errors show need for tech aid.

Landro L. The Wall Street Journal. June 1, 2005:D4.

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

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

Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.

Mertens WC, Brown DE, Parisi R, et al. J Patient Saf. 2008;4:195-200.

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