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 (4)

•Diagnostic Errors (1)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (11)

•Medication Safety (248)

•Medical Complications (9)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (8)

•Transfusion Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (8)

•Europe (50)

•North America (205)

Resource Types

•Book/Report (4)

•Clinical Guideline (1)

•Journal Article (249)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (17)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (85)

•Active Errors (75)

•Latent Errors (22)

•Near Miss (3)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (169)

•Nursing (16)

•Pharmacy (103)

Target Audience

•Health Care Providers (206)

•Health Care Executives and Administrators (222)

•Non-Health Care Professionals (185)

•Patients (2)

Setting of Care

•Hospitals (169)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (33)

1 - 20 of 278

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COMMENTARY

Miscalculated Risk

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

COMMENTARY

Implementation of standard concentrations for continuous infusions using a computerized provider order entry system.

Sinclair-Pingel J, Grisso AG, Hargrove FR, Wright L. Hosp Pharm. 2006;41:1102-1106.

STUDY

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512.

STUDY

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.

Wang JK, Herzog NS, Kaushal R, et al. Pediatrics. 2007;119:e77-85.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Prescribers' responses to alerts during medication ordering in the long term care setting.

Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

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

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

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

Medication prescribing errors involving the route of administration.

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

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

STUDY

Clinical application of a computerized system for physician order entry with clinical decision support to prevent adverse drug events in long-term care.

Rochon PA, Field TS, Bates DW, et al. CMAJ. 2006;174:52-54.

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.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

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

Computer based medication error reporting: insights and implications.

Miller MR, Clark JS, Lehmann CU. Qual Saf Health Care. 2006;15:208-213.

STUDY

Guided prescription of psychotropic medications for geriatric inpatients.

Peterson JF, Kuperman GJ, Shek C, Patel M, Avorn J, Bates DW. Arch Intern Med. 2005;165:802-807.

STUDY

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

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