The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.

Peter A Glassman; Pamela Belperio; Andrew Lanto; Barbara Simon; Robert Valuck; Jeffrey Sayers; Martin Lee

Study

The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.

May 23, 2007

Glassman PA, Belperio P, Lanto A, et al. J Am Med Inform Assoc. 2007;14(4):424-31.

View more articles from the same authors.

Investigators reviewed outpatient data for potential drug-drug and drug-disease interactions to build a medication profiling program into their computerized prescribing system. They found that combining the two technologies did not augment medication safety.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.

June 22, 2011

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.

September 18, 2019

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.

July 15, 2009

Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases.

November 28, 2018

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.

May 1, 2013

Good people who try their best can have problems: recognition of human factors and how to minimise error.

January 27, 2016

Unplanned early hospital readmission among critical care survivors: a mixed methods study of patients and carers.

June 27, 2018

Increasing patient–clinician concordance about medical error disclosure through the patient TIPS model.

July 12, 2017

Are evidence-based practices associated with effective prevention of hospital-acquired pressure ulcers in US academic medical centers?

May 25, 2016

Trauma resuscitation errors and computer-assisted decision support.

March 2, 2011

Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention.

July 13, 2016

Care transitions and home health care.

March 4, 2009

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

April 21, 2005

How residents think and make medical decisions: implications for education and patient safety.

August 15, 2007

Fostering patient safety competencies using multiple-patient simulation experiences.

December 9, 2009

Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?

November 9, 2016

Rapid learning of adverse medical event disclosure and apology.

April 9, 2014

Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre.

October 17, 2007

Recommendations to improve the usability of drug–drug interaction clinical decision support alerts.

November 25, 2015

Better off not knowing: improving clinical care by limiting physician access to unsolicited diagnostic information.

April 13, 2011

Using a network organisational architecture to support the development of Learning Healthcare Systems.

February 21, 2018

Empowerment failure: how shortcomings in physician communication unwittingly undermine patient autonomy.

November 29, 2017

I-CaRe: a case review tool focused on improving inpatient care.

February 4, 2009

Impact of senior clinical review on patient disposition from the emergency department.

April 28, 2010

Controversies surrounding use of order sets for clinical decision support in computerized provider order entry.

November 29, 2006

Surgical never events in the United States.

January 9, 2013

The bare minimum: the reality of global anaesthesia and patient safety.

September 30, 2015

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

February 11, 2009

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis

October 9, 2019

Tenfold therapeutic dosing errors in young children reported to US poison control centers.

July 22, 2009

Defining optimal length of opioid pain medication prescription after common surgical procedures.

October 18, 2017

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.

August 16, 2023

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

July 27, 2011

Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.

February 6, 2019

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

September 1, 2010

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

August 18, 2010

Applying aviation factors to oral and maxillofacial surgery—the human element.

February 1, 2012

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

July 16, 2008

Physician autonomy and informed decision making: finding the balance for patient safety and quality.

January 14, 2009

The need for systems integration in health care.

March 9, 2011

Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture.

April 24, 2019

Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center.

April 4, 2012

The host hospital 24-hour underreferral rate: an automated measure of call-center safety.

July 18, 2007

Teamwork in the time of COVID-19.

March 3, 2021

Establishing a safe container for learning in simulation: the role of the presimulation briefing.

October 8, 2014

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

October 15, 2008

Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes.

May 25, 2016

Latent risk assessment tool for health care leaders.

April 25, 2018

The role of organizational and professional cultures in medication safety: a scoping review of the literature.

January 15, 2020

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned.

May 16, 2018

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.

October 21, 2015

Implementing standardized operating room briefings and debriefings at a large regional medical center.

August 5, 2009

Ensuring staff safety when treating potentially violent patients.

January 18, 2017

Impact of preoperative briefings on operating room delays.

November 26, 2008

Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality.

December 17, 2014

A structured judgement method to enhance mortality case note review: development and evaluation.

December 4, 2013

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.

February 17, 2016

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Winning the battle for standardization.

November 7, 2007

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand?

July 30, 2008

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Hospital discharge documentation and risk of rehospitalisation.

May 4, 2011

Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events.

January 23, 2008

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.

May 11, 2011

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.

April 12, 2006

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?

January 30, 2005

Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

July 15, 2015

The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems.

June 9, 2010

Implementing human factors in clinical practice.

April 9, 2014

The effect of prescriber education on medication-related patient harm in the hospital: a systematic review.

March 8, 2017

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

April 25, 2007

Survival from in-hospital cardiac arrest during nights and weekends.

February 27, 2008

The use of patient feedback by hospital boards of directors: a qualitative study of two NHS hospitals in England.

February 7, 2018

A system analysis of a suboptimal surgical experience.

February 4, 2009

Underreporting of robotic surgery complications.

September 18, 2013

Using root cause analysis to reduce falls with injury in the psychiatric unit.

March 21, 2012

Using root cause analysis to reduce falls with injury in community settings.

August 1, 2012

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

Progress in patient safety: a glass fuller than it seems.

August 28, 2013

Balancing "no blame" with accountability in patient safety.

October 7, 2009

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

November 1, 2006

Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.

November 18, 2009

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

June 28, 2023

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

A 'paperless' wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement.

January 27, 2016

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity.

May 31, 2006

Running a hospital patient safety campaign: a qualitative study.

September 17, 2014

Weight and size descriptors for drug dosing: too many options and too many errors.

January 11, 2023

Adverse outcomes of polypharmacy in older people: systematic review of reviews.

March 18, 2020

Incidence of multiple sclerosis misdiagnosis in referrals to two academic centers.

May 1, 2019

A study of innovative patient safety education.

February 29, 2012

The patient died: what about involvement in the investigation process?

June 24, 2020

Catastrophic medical malpractice payouts in the United States.

September 10, 2014

Related Resources

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

Patient Safety Innovations

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

January 26, 2022

Patient Safety Innovations

Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids

January 7, 2022

Identifying health information technology usability issues contributing to medication errors across medication process stages.

July 7, 2021

A patient and family reporting system for perceived ambulatory note mistakes: experience at 3 U.S. healthcare centers.

September 25, 2019

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

How to prevent or reduce prescribing errors: an evidence brief for policy authors.

August 7, 2019

Special Issue on Medication Safety.

July 31, 2019

Review of medication errors that are new or likely to occur more frequently with electronic medication management systems.

July 17, 2019

WebM&M Cases

Diuretics and Electrolyte Abnormalities

July 2, 2019

WebM&M Cases

Delayed Clozapine Prescription in an Elderly Man With Dementia

July 2, 2019

An opportunity to engage obstetrics and gynecology patients through shared visit notes.

June 26, 2019

Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study.

June 26, 2019

Responding to health information technology reported safety events: insights from patient safety event reports.

June 12, 2019

WebM&M Cases

Delayed Sepsis Management Due to Ambiguous Allergy

June 1, 2019

The impact of health information technology on the management and follow-up of test results—a systematic review.

May 8, 2019

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

May 8, 2019

Interview

In Conversation With… Jane Brice, MD, MPH

May 1, 2019

Comparison of a prototype for indications-based prescribing with 2 commercial prescribing systems.

May 1, 2019

Effects of chemotherapy prescription clinical decision-support systems on the chemotherapy process: a systematic review.

April 24, 2019

Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.

April 3, 2019

Must we bust the trust?: Understanding how the clinician–patient relationship influences patient engagement in safety.

March 27, 2019

Essential activities for electronic health record safety: a qualitative study.

March 20, 2019

Measuring the rate of manual transcription error in outpatient point-of-care testing.

March 13, 2019

Approaches and Challenges to Electronically Matching Patients' Records Across Providers.

March 6, 2019

The effect of a clinical decision support for pending laboratory results at emergency department discharge.

February 13, 2019

ISMP Guidelines for Safe Electronic Communication of Medication Information.

February 6, 2019

The effect of cognitive load and task complexity on automation bias in electronic prescribing.

January 9, 2019

See More About The Topic

Ambulatory Care

Health Care Providers

Information Professionals

Medication Safety

Clinical Information Systems

The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The utility of adding retrospective medication profiling to computerized provider order entry in an ambulatory care population.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

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

U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument

Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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