AHRQ Patient Safety Network

The Collection > Computerized Provider Order Entry (CPOE)

PATIENT SAFETY PRIMERS
Computerized Provider Order Entry

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•Device-related Complications (6)

•Diagnostic Errors (3)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Medication Safety (291)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

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•Special or Theme Issue (2)

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•Epidemiology of Errors and Adverse Events (101)

•Active Errors (78)

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Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (209)

•Nursing (19)

•Pharmacy (125)

Target Audience

•Health Care Providers (235)

•Health Care Executives and Administrators (272)

•Non-Health Care Professionals (240)

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Setting of Care

•Hospitals (218)

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1 - 20 of 357

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COMMENTARY

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

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

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.

REVIEW

E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.

Odukoya OK, Chui MA. Res Social Adm Pharm. 2012 Oct 10; [Epub ahead of print].

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

Medication prescribing errors involving the route of administration.

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

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing systems in pediatrics: the rationale and functionality requirements.

American Academy of Pediatrics Council on Clinical Information Technology. Pediatrics. 2007;119:1229-1231.

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

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

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.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: a pharmacy informatics perspective.

Edillo PN. Pharm Purch Prod. April 2011;8:26.

REVIEW

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

Shamliyan TA, Duval S, Du J, Kane RL. Health Serv Res. 2008;43:32-53.

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

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry.

Kozakiewicz JM, Benis LJ, Fisher SM, Marseglia JB. Am J Health Syst Pharm. 2005;62:1813-1816.

STUDY

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

Odukoya O, Chui MA. J Am Med Inform Assoc. 2012;19:1059-1065.

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

Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system.

Koppel R, Leonard CE, Localio AR, Cohen A, Auten R, Strom BL. J Am Med Inform Assoc. 2008;15:461-465.

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