Evaluation and certification of computerized physician order entry systems.

David Classen; Anthony Avery; David W. Bates

Review

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

Classen D, Avery A, Bates DW. J Am Med Inform Assoc. 2007;14(1):48-55.

View more articles from the same authors.

The authors reviewed studies on implementation and use of computerized physician order entry systems and discuss the metrics an organization should use to judge the effectiveness of its system.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

November 22, 2006

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

July 15, 2009

The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice.

January 10, 2007

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

Patient perceptions of hospital experiences: implications for innovations in patient safety.

March 16, 2022

Design of a safety dashboard for patients.

December 18, 2019

Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support.

August 7, 2019

The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support.

July 29, 2020

Safe use of electronic health records and health information technology systems: trust but verify.

December 18, 2013

National trends in the safety performance of electronic health record systems from 2009 to 2018.

June 17, 2020

Inpatient EHR user experience and hospital EHR safety performance.

October 4, 2023

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.

December 21, 2022

Unexpected hypoglycemia in a critically ill patient.

March 15, 2006

Computerized physician order entry and medication errors: finding a balance.

July 6, 2005

John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.

March 6, 2005

Measuring patient safety in primary care: the development and validation of the "Patient Reported Experiences and Outcomes of Safety in Primary Care" (PREOS-PC).

June 1, 2016

The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned.

March 17, 2021

Health information exchange and patient safety.

November 7, 2007

Medication safety: moving from illusion to reality.

March 6, 2005

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Medication administration errors by nurses: adherence to guidelines.

January 30, 2013

Can electronic clinical documentation help prevent diagnostic errors?

March 31, 2010

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Improving safety with information technology.

March 6, 2005

Health apps and health policy: what is needed?

October 24, 2018

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.

December 21, 2011

Racism and electronic health records (EHRs): perspectives for research and practice.

April 12, 2023

Pediatric medication safety and the media: what does the public see?

June 21, 2006

Incidence of adverse drug events and medication errors in Japan: the JADE Study.

November 3, 2010

Preventable adverse drug events and their causes and contributing factors: the analysis of register data.

February 16, 2011

Adverse events and near misses relating to information management in a hospital.

June 22, 2016

The novice nurse and clinical decision-making: how to avoid errors.

May 11, 2011

Patient safety: let's measure what matters.

May 21, 2014

Informatics opportunities: the intersection of patient safety and clinical informatics.

May 14, 2008

Safe electronic health record use requires a comprehensive monitoring and evaluation framework.

February 10, 2010

Getting moving on patient safety—harnessing electronic data for safer care.

November 23, 2011

Improving electronic health record usability and safety requires transparency.

December 12, 2018

Physician burnout in the electronic health record era: are we ignoring the real cause?

May 9, 2018

Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

July 18, 2007

What practices will most improve safety? Evidence-based medicine meets patient safety.

April 12, 2006

Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.

February 3, 2016

Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy.

September 27, 2006

Professional, structural and organisational interventions in primary care for reducing medication errors.

October 18, 2017

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.

December 3, 2014

Digital health and patient safety.

April 27, 2016

Communicating critical test results: safe practice recommendations.

April 3, 2005

Safety of patients isolated for infection control.

March 27, 2005

Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.

June 27, 2012

Exploring safety systems for dispensing in community pharmacies: focusing on how staff relate to organizational components.

September 17, 2014

Improving general practice computer systems for patient safety: qualitative study of key stakeholders.

February 28, 2007

Examining variations in prescribing safety in UK general practice: cross sectional study using the Clinical Practice Research Datalink.

November 25, 2015

Building a Patient Safety Toolkit for use in general practice.

July 20, 2016

Comparative accuracy of diagnosis by collective intelligence of multiple physicians vs individual physicians.

March 13, 2019

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

October 22, 2014

Measuring patient safety in real time: an essential method for effectively improving the safety of care.

December 6, 2017

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

January 13, 2010

Creating an oversight infrastructure for electronic health record–related patient safety hazards.

November 30, 2011

Patient safety goals for the proposed Federal Health Information Technology Safety Center.

November 19, 2014

National efforts to improve health information system safety in Canada, the United States of America and England.

January 30, 2013

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.

September 30, 2009

Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units.

March 6, 2005

Exploring the roots of unintended safety threats associated with the introduction of hospital ePrescribing systems and candidate avoidance and/or mitigation strategies: a qualitative study.

February 22, 2017

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.

September 17, 2008

Bending the patient safety curve: how much can AI help?

February 1, 2023

An electronic health record–based real-time analytics program for patient safety surveillance and improvement.

December 5, 2018

Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework.

May 8, 2019

Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.

March 6, 2005

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

Single-parameter early warning criteria to predict life-threatening adverse events.

June 23, 2010

Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation.

January 4, 2012

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

October 19, 2005

Selecting indicators for patient safety at the health system level in OECD countries.

September 20, 2006

User-centered collaborative design and development of an inpatient safety dashboard.

September 20, 2017

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.

August 1, 2018

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.

May 20, 2020

Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification.

March 26, 2008

Electronic health record use and the quality of ambulatory care in the United States.

July 25, 2007

Costs of adverse events in intensive care units.

September 26, 2007

The relationship between perceived practice quality and quality improvement activities and physician practice dissatisfaction, professional isolation, and work-life stress.

August 5, 2009

Evaluation of perioperative medication errors and adverse drug events.

November 4, 2015

Understanding the nature of medication errors in an ICU with a computerized physician order entry system.

February 11, 2015

National trends in safety performance of electronic health record systems in children's hospitals.

October 12, 2016

Quality and safety in the intensive care unit.

August 9, 2006

Results of a survey on medical error reporting systems in Korean hospitals.

August 31, 2005

Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record.

May 30, 2018

Improving medication-related clinical decision support.

March 7, 2018

Association of note quality and quality of care: a cross-sectional study.

April 23, 2014

The relationship between electronic health records and malpractice claims.

July 11, 2012

The role of advice in medication administration errors in the pediatric ambulatory setting.

September 9, 2009

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.

July 23, 2008

Computerised prescribing for safer medication ordering: still a work in progress.

November 18, 2015

The costs of adverse drug events in community hospitals.

March 7, 2012

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

Improving patient safety reporting with the common formats: common data representation for Patient Safety Organizations.

November 16, 2016

Related Resources

Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis of NHS England staff survey and incident data.

August 30, 2023

The impact of transition to a digital hospital on medication errors (TIME study).

August 16, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Electronic prescribing systems in hospitals to improve medication safety: a multi-methods research programme.

December 21, 2022

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.

December 7, 2022

Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review.

September 7, 2022

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

Making electronic health records both SAFER and SMARTER.

July 27, 2022

Interventions to reduce pediatric prescribing errors in professional healthcare settings: a systematic review of the last decade.

June 23, 2021

Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems.

January 13, 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

Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems.

August 12, 2020

Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis.

July 8, 2020

Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review.

July 1, 2020

National trends in the safety performance of electronic health record systems from 2009 to 2018.

June 17, 2020

Interventions designed to improve the safety and quality of therapeutic anticoagulation in an inpatient electronic medical record.

April 22, 2020

How common mental shortcuts can cause major physician errors.

March 4, 2020

Annual Perspective

Updates in the Role of Health IT in Patient Safety

February 21, 2020

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.

May 8, 2019

Artificial intelligence systems for complex decision-making in acute care medicine: a review.

March 13, 2019

Systematic review of computerized prescriber order entry and clinical decision support.

February 6, 2019

Cranky comments: detecting clinical decision support malfunctions through free-text override reasons.

January 16, 2019

Patient Safety.

November 21, 2018

Potential biases in machine learning algorithms using electronic health record data.

August 29, 2018

Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis.

August 22, 2018

The key to reducing doctors' misdiagnoses.

September 20, 2017

See More About The Topic

Hospitals

Ambulatory Care

Health Care Executives and Administrators

Quality and Safety Professionals

Medicine

Evaluation and certification of computerized physician order entry systems.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Evaluation and certification of computerized physician order entry systems.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site