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 (304)

•Medical Complications (10)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (10)

•Transfusion Complications (3)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (12)

Resource Types

•Clinical Guideline (1)

•Journal Article (313)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (33)

•Press Release/Announcement (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (105)

•Active Errors (82)

•Latent Errors (25)

•Near Miss (3)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (222)

•Nursing (19)

•Pharmacy (126)

Target Audience

•Health Care Providers (248)

•Health Care Executives and Administrators (283)

•Non-Health Care Professionals (247)

•Patients (12)

Setting of Care

•Hospitals (233)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (41)

•Outpatient Surgery (1)

1 - 20 of 372

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STUDY

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

NEWSPAPER/MAGAZINE ARTICLE

Pediatric safety.

Runy LA. Hosp Health Netw. May 2009.

STUDY

Intravenous infusion safety technology: return on investment.

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

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.

COMMENTARY

New technology for transfusion safety.

Dzik WH. Br J Haematol. 2007;136:181-90.

STUDY

Medication administration discrepancies persist despite electronic ordering.

FitzHenry F, Peterson JF, Arrieta M, Waitman LR, Schildcrout JS, Miller RA. J Am Med Inf Assoc. 2007;14:756-764.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

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.

COMMENTARY

Medication safety technologies: what is and is not working.

Bates DW, Wachter RM, Vanderveen T. Patient Saf Qual Healthc. July/August 2009;6:22-27.

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

Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.

Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

STUDY

Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.

Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.

AUDIOVISUAL

Health agency: drug errors still common.

Knox R. "All Things Considered." National Public Radio. July 20, 2006.

COMMENTARY

XL or Smaller?

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

AWARD RECIPIENT

An interview with Lucian Leape.

Leape LL. Jt Comm J Qual Saf. 2004;30:653-658.

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

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