Study Computer based medication error reporting: insights and implications. Citation Text: Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL June 21, 2006 Miller MR, Clark JS, Lehmann CU. Qual Saf Health Care. 2006;15(3):208-13. View more articles from the same authors. The researchers analyzed 581 medication error reports collected from a large children's medical center and concluded that error reporting is an effective means of collecting information on medication errors. PubMed citation Available at Free full text Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Miller MR, Clark JS, Lehmann CU. Computer based medication error reporting: insights and implications. Qual Saf Health Care. 2006;15(3):208-13. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Decreasing errors in pediatric continuous intravenous infusions. May 24, 2006 Primary care pediatricians' interest in diagnostic error reduction. July 20, 2016 Diagnostic errors in primary care pediatrics: Project RedDE. November 29, 2017 Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. May 6, 2009 Patient safety rounds in a pediatric tertiary care center. January 9, 2008 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020 Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022 Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 10, 2006 The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019 Preventing home medication administration errors. March 14, 2022 A model for the departmental quality management infrastructure within an academic health system. September 28, 2016 Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. May 3, 2017 Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? September 13, 2006 Pediatric aspects of inpatient health information technology systems. February 4, 2009 Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. February 23, 2011 Preventable adverse drug events among inpatients: a systematic review. August 29, 2018 Role-modeling and medical error disclosure: a national survey of trainees. February 12, 2014 Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022 The top patient safety strategies that can be encouraged for adoption now. March 13, 2013 Advancing the science of patient safety. May 25, 2011 Medication administration discrepancies persist despite electronic ordering. November 28, 2007 The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. August 20, 2014 Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021 Resident wellness in US ophthalmic graduate medical education: the resident perspective. May 23, 2018 Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. January 20, 2016 A national profile of patient safety in U.S. hospitals. March 6, 2005 User-centered collaborative design and development of an inpatient safety dashboard. September 20, 2017 Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023 Predictors of misunderstanding pediatric liquid medication instructions. December 9, 2009 Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017 Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017 Complexity and challenges of the clinical diagnosis and management of Long COVID. November 30, 2022 Readiness of US general surgery residents for independent practice. October 4, 2017 Families as partners in hospital error and adverse event surveillance. March 8, 2017 Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. December 6, 2006 Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. March 1, 2023 Human factors in anaesthesia: a narrative review. February 15, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. October 19, 2022 Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. March 6, 2005 Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. September 30, 2020 Prescribing errors in a pediatric emergency department. March 5, 2008 Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. August 20, 2008 Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. October 20, 2010 American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. December 7, 2005 Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 5, 2006 Reducing anticoagulant medication adverse events and avoidable patient harm. April 9, 2008 A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. February 2, 2011 The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018 Resident fatigue: is there a patient safety issue? January 6, 2010 Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. September 7, 2005 Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007 Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. March 23, 2011 Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. March 4, 2020 Quality and safety implications of emergency department information systems. July 17, 2013 One-stop diagnostic breast clinics: how often are breast cancers missed? August 5, 2009 Long-term effects of a perioperative safety checklist from the viewpoint of personnel. April 3, 2013 Changes in medical errors after implementation of a handoff program. November 12, 2014 Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023 National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016 Racial differences in antibiotic prescribing by primary care pediatricians. March 20, 2013 Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). July 25, 2018 Reducing health care hazards: lessons from the Commercial Aviation Safety Team. April 15, 2009 Trends and patterns in reporting of patient safety situations in transplantation. February 10, 2016 Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018 Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. February 25, 2009 Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. November 17, 2010 A randomized trial of a multifactorial strategy to prevent serious fall injuries. July 29, 2020 Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. February 17, 2016 Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. May 31, 2017 Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. May 24, 2017 Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016 The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014 Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. September 20, 2023 Medication reconciliation in ambulatory care: attempts at improvement. October 28, 2009 Adverse drug events in pediatric outpatients. October 3, 2007 Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. October 21, 2009 Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. August 1, 2018 Is it possible to identify risks for injurious falls in hospitalized patients? August 29, 2012 Medication error prevention by pharmacists. March 6, 2005 Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018 Multisource evaluation of surgeon behavior is associated with malpractice claims. April 11, 2018 Decision support for sensible dosing in electronic prescribing systems. November 30, 2011 Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013 Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. December 12, 2012 Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009 EACTS guidelines for the use of patient safety checklists. March 29, 2012 Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. April 27, 2011 Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. January 30, 2005 A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. June 20, 2007 Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. March 29, 2012 Readiness for organisational change among general practice staff. April 28, 2010 Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023 Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. December 14, 2005 Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011 A typology of electronic health record workarounds in small-to-medium size primary care practices. August 21, 2013 Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. August 26, 2015 View More Related Resources Annual Perspective Equity in Patient Safety March 27, 2024 Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. June 7, 2023 Annual Perspective Improving Diagnostic Safety and Quality April 26, 2023 Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023 Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. February 1, 2023 Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. January 18, 2023 Free-text computerized provider order entry orders used as workaround for communicating medication information. August 31, 2022 Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022 Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022 Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021 Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. June 23, 2021 Adverse drug event-related admissions to a pediatric emergency unit. April 14, 2021 Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Risk factors associated with medication ordering errors. December 16, 2020 How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. December 2, 2020 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020 Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. June 24, 2020 Exploring the human factors of prescribing errors in paediatric intensive care units. March 27, 2019 Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. April 18, 2018 Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. August 10, 2016 Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. February 3, 2016 Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. August 19, 2015 Evaluation for occult fractures in injured children. August 5, 2015 Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. November 19, 2014 Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. October 22, 2014 Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. August 6, 2014 Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. June 11, 2014 Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. April 2, 2014 View More See More About The Topic Children's Hospitals Risk Managers Quality and Safety Professionals General Pediatrics Ordering/Prescribing Errors View More
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. May 6, 2009
Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. September 23, 2020
Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study. November 16, 2022
Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis. May 10, 2006
The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care. May 15, 2019
A model for the departmental quality management infrastructure within an academic health system. September 28, 2016
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. May 3, 2017
Scrutinizing incident reporting in anaesthesia: why is an incident perceived as critical? September 13, 2006
Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. February 23, 2011
Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative. May 18, 2022
The morbidity and mortality conference as an adverse event surveillance tool in a paediatric intensive care unit. August 20, 2014
Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions. August 4, 2021
Resident wellness in US ophthalmic graduate medical education: the resident perspective. May 23, 2018
Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. January 20, 2016
User-centered collaborative design and development of an inpatient safety dashboard. September 20, 2017
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023
Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016 March 3, 2017
Safe practices for copy and paste in the EHR. Systematic review, recommendations, and novel model for health IT collaboration. February 8, 2017
Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. December 6, 2006
Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. March 1, 2023
Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. March 6, 2005
Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats. September 30, 2020
Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. August 20, 2008
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis. October 20, 2010
American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology. December 7, 2005
Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 5, 2006
A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life. February 2, 2011
The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. February 14, 2018
Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. September 7, 2005
Description and evaluation of an interprofessional patient safety course for health professions and related sciences students. January 10, 2007
Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. March 23, 2011
Chronic pain diagnoses and opioid dispensings among insured individuals with serious mental illness. March 4, 2020
Prevalence and causes of diagnostic errors in hospitalized patients under investigation for COVID-19. April 12, 2023
National Partnership for Maternal Safety: Consensus Bundle on Venous Thromboembolism. December 7, 2016
Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). July 25, 2018
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. December 19, 2018
Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison. February 25, 2009
Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. November 17, 2010
Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department. February 17, 2016
Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014
Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. May 31, 2017
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. May 24, 2017
Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016
The morbidity and mortality conference in PICUs in the United States: a national survey. September 24, 2014
Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. September 20, 2023
Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. October 21, 2009
Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward. August 1, 2018
Comparison of military and civilian methods for determining potentially preventable deaths: a systematic review. May 23, 2018
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. May 10, 2017
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. December 12, 2012
Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. December 2, 2009
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. April 27, 2011
Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. January 30, 2005
A study of the frequency and rationale for overriding allergy warnings in a computerized prescriber order entry system. June 20, 2007
Patient safety in developing countries: retrospective estimation of scale and nature of harm to patients in hospital. March 29, 2012
Prescription opioid dose reductions and potential adverse events: a multi-site observational cohort study in diverse US health systems. November 29, 2023
Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. December 14, 2005
Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020
Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. February 9, 2011
A typology of electronic health record workarounds in small-to-medium size primary care practices. August 21, 2013
Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011
'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. August 26, 2015
Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. June 7, 2023
Improving medication safety in a paediatric hospital: a mixed-methods evaluation of a newly implemented computerised provider order entry system. April 12, 2023
Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. February 1, 2023
Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. January 18, 2023
Free-text computerized provider order entry orders used as workaround for communicating medication information. August 31, 2022
Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022
Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. March 30, 2022
Antibiotic prescribing errors in patients discharged from the pediatric emergency department. March 30, 2022
Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. December 22, 2021
Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade. June 23, 2021
How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. December 2, 2020
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020
Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020
Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. June 24, 2020
Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. April 18, 2018
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors. August 10, 2016
Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. February 3, 2016
Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. August 19, 2015
Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit. November 19, 2014
Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. August 6, 2014
Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. June 11, 2014
Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. April 2, 2014