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PSNet: Patient Safety Network
Journal Article

The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.

Westbrook JI, Baysari MT, Li L, et al. Journal of the American Medical Informatics Association : JAMIA. 2013;20:1159-67.

The Institute of Medicine highlighted the challenges of health information technology implementation in their 2011 report, Health IT and Patient Safety. A growing list of unintended consequences from computerized provider order entry (CPOE) systems has emerged over the last few years. This study describes a robust classification structure for identifying systems-related errors in CPOE programs. Two hospitals with different CPOE systems were examined. Systems-related errors were found to be frequent, comprising 42% of all prescribing errors, although only 2.2% were serious errors. Both CPOE systems in this study prevented many more prescribing errors than they created, supporting the overall benefit of CPOE for patient safety. An AHRQ WebM&M perspective discussed CPOE and medication safety.