Computerized Provider Order Entry (CPOE)
PATIENT SAFETY PRIMERS
Computerized Provider Order Entry
Device-related Complications (3)
Diagnostic Errors (3)
Identification Errors (8)
Discontinuities, Gaps, and Hand-Off Problems (13)
Medication Safety (240)
Medical Complications (7)
Nonsurgical Procedural Complications (1)
Surgical Complications (9)
Transfusion Complications (1)
Psychological and Social Complications (4)
Australia and New Zealand (10)
North America (214)
Clinical Guideline (1)
Journal Article (236)
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Special or Theme Issue (3)
Web Resource (3)
Epidemiology of Errors and Adverse Events (93)
Active Errors (76)
Latent Errors (20)
Near Miss (3)
Approach to Improving Safety
Computerized Provider Order Entry (CPOE)
Health Care Providers (210)
Health Care Executives and Administrators (230)
Non-Health Care Professionals (190)
Setting of Care
Psychiatric Facilities (1)
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Ambulatory Care (35)
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Back to Basics.
Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.
XL or Smaller?
Kozer E. AHRQ WebM&M [serial online]. June 2003.
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
Bookwalter T. AHRQ WebM&M [serial online]. June 2004.
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.
Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.
Announcing 2009 Leapfrog top hospitals.
Washington, DC: Leapfrog Group; December 4, 2009.
Preventing Medication Errors: Quality Chasm Series.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.
Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.
Health agency: drug errors still common.
Knox R. "All Things Considered." National Public Radio. July 20, 2006.
Patient safety beyond the hospital.
Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.
What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?
Schedlbauer A, Prasad V, Mulvaney C, et al. J Am Med Inform Assoc. 2009;16:531-538.
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.
The long road to patient safety: a status report on patient safety systems.
Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.
Death by handwriting.
Glabman M. Trustee. October 2005;58:29-32.
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.
Prescribing errors resulting in adverse drug events: how can they be prevented?
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
Over Not So Easy
Cucina R. AHRQ WebM&M [serial online]. July 2006.
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.
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