Impact of a computerized physician order-entry system.

William M. Stone; Benn E. Smith; Judd D. Shaft; Richard D. Nelson; Samuel R. Money

Study

Impact of a computerized physician order-entry system.

June 3, 2009

Stone WM, Smith BE, Shaft JD, et al. J Am Coll Surg. 2009;208(5):960-7; discussion 967-9.

View more articles from the same authors.

Implementation of a computerized provider order entry system improved efficiency but did not yield significant safety improvements or cost savings.

PubMed citation

Available at

Related Resources From the Same Author(s)

How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care?

June 4, 2008

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

November 1, 2006

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.

April 19, 2023

Physician knowledge, attitudes, and behavior related to reporting adverse drug events.

March 27, 2005

Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention.

August 22, 2018

Electronic prescription writing errors in the pediatric emergency department.

June 24, 2015

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Second victim support programs for healthcare organizations.

July 29, 2020

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

August 15, 2007

Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study.

April 1, 2015

Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence.

September 18, 2013

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

March 27, 2013

A cross-cultural survey of residents' perceived barriers in questioning/challenging authority.

August 23, 2006

Patient safety informatics: meeting the challenges of emerging digital health.

July 20, 2022

The simulated ward: ideal for training clinical clerks in an era of patient safety.

May 9, 2012

A new professionalism? Surgical residents, duty hours restrictions, and shift transitions.

November 17, 2010

Impact of short-notice accreditation assessments on hospitals' patient safety and quality culture--a scoping review.

April 24, 2024

Hospital admission medication reconciliation in medically complex children: an observational study.

April 21, 2010

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

December 19, 2007

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

The "Big Dog" effect: variability assessing the causes of error in diagnoses of patients with lung cancer.

July 19, 2006

Evaluation of detected medication errors within the operating room at an academic medical center.

June 21, 2023

Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review.

June 25, 2014

Decreasing mislabeled laboratory specimens using barcode technology and bedside printers.

February 2, 2011

Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare.

August 2, 2006

Patient safety climate: variation in perceptions by infection preventionists and quality directors.

September 28, 2011

Detection and prevention of medication errors using real-time bedside nurse charting.

August 31, 2005

Work hour rules and contributors to patient care mistakes: a focus group study with internal medicine residents.

July 2, 2008

2018 update on pediatric medical overuse: a review.

February 27, 2019

Effective discharge communication in the emergency department.

February 1, 2012

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.

June 11, 2014

A comparison of hospital adverse events identified by three widely used detection methods.

August 5, 2009

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

April 7, 2010

Inaccuracy of ECG interpretations reported to the poison center.

March 23, 2011

Concepts for the development of a customizable checklist for use by patients.

July 1, 2015

Teamwork behaviours and errors during neonatal resuscitation.

March 24, 2010

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

November 8, 2006

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

February 18, 2009

Measuring adverse events in hospitalized patients: an administrative method for measuring harm.

September 7, 2016

Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration.

April 29, 2015

Sharing lessons learned to prevent incorrect surgery.

November 21, 2012

Checklist implementation for office-based surgery: a team effort.

September 4, 2013

Patient safety and office-based anesthesia.

October 17, 2012

Office-based surgery and patient outcomes.

March 27, 2019

Sources of nurse-sensitive inpatient safety improvement.

December 21, 2022

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Liability claims and costs before and after implementation of a medical error disclosure program.

August 25, 2010

2019 update on pediatric medical overuse: a systematic review.

March 4, 2020

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Quality improvement in ambulatory surgery centers: a major national effort aimed at reducing infections and other surgical complications.

March 27, 2019

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.

October 24, 2018

"Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs.

September 23, 2015

"Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs.

September 16, 2015

Ambulance stretcher adverse events.

June 17, 2009

Profiles in patient safety: a "perfect storm" in the emergency department.

June 20, 2007

Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views.

March 6, 2005

Computerized surveillance for adverse drug events in a pediatric hospital.

October 7, 2009

Establishing a simulation center for surgical skills: what to do and how to do it.

September 12, 2007

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.

June 6, 2012

Understanding the behaviour of newly qualified doctors in acute care contexts.

November 2, 2011

Administrative issues to ensure safe anesthesia care in the office-based setting.

October 30, 2013

Barriers to the implementation of checklists in the office-based procedural setting.

June 4, 2014

Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care.

April 19, 2017

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

Office-based anesthesia: safety and outcomes.

August 13, 2014

Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room.

July 2, 2008

Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting.

May 31, 2006

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

January 9, 2008

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

September 23, 2009

An intervention to decrease narcotic-related adverse drug events in children's hospitals.

October 29, 2008

Interpersonal and organizational dynamics are key drivers of failure to rescue.

December 5, 2018

Another medical malpractice crisis?: Try something different.

October 14, 2020

Applying Lean methods to improve quality and safety in surgical sterile instrument processing.

March 13, 2013

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Feedback from incident reporting: information and action to improve patient safety.

March 11, 2009

Correlation between hospital rating agencies' data: an analysis and recommendation.

June 10, 2020

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

May 2, 2007

The multidisciplinary approach to GI cancer results in change of diagnosis and management of patients. Multidisciplinary care impacts diagnosis and management of patients.

August 31, 2016

Leading causes of anesthesia-related liability claims in ambulatory surgery centers.

October 6, 2021

Crisis checklists for the operating room: development and pilot testing.

January 30, 2005

"Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation.

March 6, 2024

Triggers, bundles, protocols, and checklists—what every maternal care provider needs to know.

April 13, 2016

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting.

October 11, 2017

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

January 30, 2005

More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.

April 1, 2015

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

September 9, 2009

Curriculum development and implementation of a national interprofessional fellowship in patient safety.

September 5, 2018

Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers.

December 5, 2018

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

April 20, 2011

People, systems and safety: resilience and excellence in healthcare practice.

April 17, 2019

The role of anesthesia in surgical mortality.

March 6, 2005

Gaps in the continuity of care and progress on patient safety.

March 6, 2005

Understanding the attitudes of hospital pharmacists to reporting medication incidents: a qualitative study.

January 16, 2013

The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram.

November 7, 2012

Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients.

June 21, 2006

Medication errors and patient complications with continuous renal replacement therapy.

May 3, 2006

Online medication error graphic reports: a pilot in North Carolina nursing homes.

June 15, 2011

Related Resources

The additional cost of perioperative medication errors

July 5, 2023

Patient safety of perioperative medication through the lens of digital health and artificial intelligence.

June 28, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Journal Article

Study

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

March 29, 2023

Safety risks and workflow implications associated with nursing-related free-text communication orders.

March 15, 2023

Duplicate medication order errors: safety gaps and recommendations for improvement.

October 12, 2022

Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017.

March 9, 2022

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

June 17, 2020

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

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

Perioperative medication errors: uncovering risk from behind the drapes.

January 16, 2019

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

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

August 1, 2018

Association of opioid-related adverse drug events with clinical and cost outcomes among surgical patients in a large integrated health care delivery system.

June 20, 2018

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting.

April 18, 2018

Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience.

October 11, 2017

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.

August 16, 2017

A new patient safety smartphone application for prevention of "forgotten" ureteral stents: results from a clinical pilot study in 194 patients.

July 26, 2017

Learning from errors: analysis of medication order voiding in CPOE systems.

March 15, 2017

February 8, 2017

WebM&M Cases

Unexpected Drawbacks of Electronic Order Sets

November 1, 2016

Where are my instruments? Hazards in delivery of surgical instruments.

August 10, 2016

Ambulatory computerized prescribing and preventable adverse drug events.

June 8, 2016

Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study.

February 10, 2016

Enhancing surgical safety using digital multimedia technology.

November 25, 2015

Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.

November 18, 2015

Evaluation of perioperative medication errors and adverse drug events.

November 4, 2015

The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.

August 12, 2015

Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society.

August 5, 2015

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

July 22, 2015

See More About The Topic

Operating Room

Health Care Executives and Administrators

Information Professionals

Surgery

Medication Errors/Preventable Adverse Drug Events

Impact of a computerized physician order-entry system.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Impact of a computerized physician order-entry system.

A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics.

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