Technology-induced errors associated with computerized provider order entry software for older patients.

Manuel Vélez-Díaz-Pallarés; Ana María Álvarez Díaz; Teresa Gramage Caro; Noelia Vicente Oliveros; Eva Delgado-Silveira; María Muñoz García; Alfonso José Cruz-Jentoft; Teresa Bermejo-Vicedo

Study

Technology-induced errors associated with computerized provider order entry software for older patients.

August 23, 2017

Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG, et al. Int J Clin Pharm. 2017;39(4):729-742.

View more articles from the same authors.

Nearly all of the medication errors in a Spanish hospital's computerized provider order entry system related to human factors issues involving the interaction between clinicians and the technology itself. These included previously identified problems associated with errors in free-text fields and errors resulting from autocompletion of partially entered orders.

PubMed citation

Available at

Related Resources From the Same Author(s)

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

October 3, 2012

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

February 6, 2019

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Healthcare failure mode and effect analysis in the chemotherapy preparation process.

November 17, 2021

Medication errors in the care transition of trauma patients

December 18, 2019

Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety.

September 6, 2023

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

August 12, 2015

STOPP/START criteria for potentially inappropriate prescribing in older people: version 3.

September 27, 2023

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

Risks and medication errors analysis to evaluate the impact of a chemotherapy compounding workflow management system on cancer patients' safety.

February 26, 2020

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.

February 15, 2023

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Potential medication errors associated with computer prescriber order entry.

June 5, 2013

Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.

May 9, 2007

Medication reconciliation in oncological patients: a randomized clinical trial.

June 15, 2016

Benefits of direct observation in medication administration to detect errors.

January 9, 2008

Clinical diagnoses and autopsy findings: discrepancies in critically ill patients.

April 11, 2012

June 30, 2010

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Design and testing of the safety agenda mobile app for managing health care managers' patient safety responsibilities.

January 11, 2017

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.

September 18, 2013

Surgery is in itself a risk factor for the patient.

June 1, 2022

Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system.

December 18, 2019

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study.

March 9, 2022

Identifying adverse events in patients hospitalized in isolation or quarantine due to COVID-19.

May 10, 2023

Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy.

September 12, 2018

Developing a programme for medication reconciliation at the time of admission into hospital.

September 7, 2011

Inappropriate hospital admission as a risk factor for the subsequent development of adverse events: a cross-sectional study.

September 13, 2023

Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic.

August 26, 2020

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

September 28, 2011

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.

May 6, 2020

Using near-miss events to improve MRI safety in a large academic centre.

May 15, 2019

Electronic medication reconciliation tools aimed at healthcare professionals to support medication reconciliation: a systematic review.

February 28, 2024

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.

August 30, 2017

Reducing medication errors for adults in hospital settings.

December 15, 2021

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.

July 19, 2023

Patient safety in dentistry: dental care risk management plan.

January 26, 2011

The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement.

March 27, 2013

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

September 12, 2012

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

E-learning on risk management. An opportunity for sharing knowledge and experiences in patient safety.

January 30, 2019

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.

June 16, 2021

Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions.

April 30, 2014

Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial.

November 23, 2005

Thematic analysis of nurses' experiences with The Joint Commission's medication management titration standards.

September 15, 2021

Surgical count process for prevention of retained surgical items: an integrative review.

May 11, 2016

Discrepancies between clinical diagnoses and autopsy findings in critically ill children: a prospective study.

March 15, 2017

Introduction of checklists at daily progress notes improves patient care among the gynecological oncology service.

December 5, 2012

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.

October 29, 2014

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study.

February 14, 2024

Educational strategy to reduce medication errors in a neonatal intensive care unit.

May 13, 2009

Medication errors in a neonatal intensive care unit. Influence of observation on the error rate.

September 3, 2008

Impact of time pressure on dentists' diagnostic performance.

May 8, 2019

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant.

September 19, 2018

May 4, 2022

Use of quality indicators to compare point-of-care testing errors in a neonatal unit and errors in a STAT central laboratory.

February 25, 2015

Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review.

August 9, 2023

Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable.

May 17, 2023

Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis.

January 13, 2021

Influence of burnout on patient safety: systematic review and meta-analysis.

October 23, 2019

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Implementing an electronic root cause analysis reporting system to decrease hospital-acquired pressure injuries.

May 24, 2023

From patients to politicians: a cognitive engineering view of patient safety.

March 27, 2005

What does it take? A case study of radical change toward patient safety.

March 6, 2005

Nursing peer review: developing a framework for patient safety.

November 26, 2008

Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system.

March 20, 2024

Interdisciplinary communication: an uncharted source of medical error?

November 15, 2006

Interruptive communication patterns in the intensive care unit ward round.

October 26, 2005

Medication errors in pediatric inpatients: prevalence and results of a prevention program.

September 17, 2008

Medication errors in a neonatal intensive care unit.

April 16, 2008

Validation of a reduced set of high-performance triggers for identifying patient safety incidents with harm in primary care.

November 8, 2023

Problems with medical devices may be severely under-reported.

June 8, 2005

Use of an electronic clinical decision support system in primary care to assess inappropriate polypharmacy in young seniors with multimorbidity: observational, descriptive, cross-sectional study

April 8, 2020

Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media.

October 31, 2007

The frequency of diagnostic errors in radiologic reports depends on the patient's age.

October 13, 2010

Error in body weight estimation leads to inadequate parenteral anticoagulation.

July 27, 2011

This isn't my information! The impact of accurate identity management on patient safety.

April 17, 2013

Pediatric medication safety in adult community hospital settings: a glimpse into nationwide practice.

February 22, 2017

Team training for safer birth.

January 6, 2016

Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.

April 25, 2007

How different countries respond to adverse events whilst patients' rights are protected.

September 27, 2023

The impact of nursing practice environments on patient safety culture in primary health care: a scoping review.

January 31, 2024

Five ways you can reduce inappropriate prescribing in the elderly: a systematic review.

April 26, 2006

Black women's maternal health: insights from community based participatory research in Newark, New Jersey.

June 29, 2023

Lost in translation: medication labeling for immigrant families.

December 21, 2016

The automated operating room: a team approach to patient safety and communication.

October 8, 2014

Association between sleep health and rates of self-reported medical errors in intern physicians: an ancillary analysis of the Intern Health Study.

February 28, 2024

Patient identification and tube labelling—a call for harmonisation.

August 10, 2016

Patient safety and ethical implications of healthcare sick leave policies in the pandemic era.

September 15, 2021

Knowledge-based information to improve the quality of patient care.

February 25, 2009

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model.

December 1, 2021

Key factors for effective implementation of healthcare workers support interventions after patient safety incidents in health organisations: a scoping review.

January 10, 2024

Medication errors involving nursing students: a systematic review.

February 7, 2018

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis.

May 21, 2014

The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.

September 26, 2012

Postoperative video debriefing reduces technical errors in laparoscopic surgery.

July 4, 2007

What about doctors? The impact of medical errors.

August 20, 2014

What about doctors? The impact of medical errors.

January 14, 2015

Related Resources

Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study.

June 7, 2023

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

May 17, 2023

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 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

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

August 24, 2022

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.

February 24, 2021

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.

December 23, 2020

A machine learning-based clinical decision support system to identify prescriptions with a high risk of medication error.

October 21, 2020

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

July 29, 2020

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

July 1, 2020

The impact of technology on prescribing errors in pediatric intensive care: a before and after study.

June 3, 2020

Effect of restriction of the number of concurrently open records in an electronic health record on wrong-patient order errors: a randomized clinical trial.

May 29, 2019

Avoiding chemotherapy prescribing errors: analysis and innovative strategies.

February 13, 2019

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

August 1, 2018

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

July 11, 2018

Effects of computerized decision support system implementations on patient outcomes in inpatient care: a systematic review.

May 9, 2018

Implementation of an integrated computerized prescriber order-entry system for chemotherapy in a multisite safety-net health system.

April 25, 2018

Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre–post study.

April 18, 2018

From guideline to order set to patient harm.

April 4, 2018

Healthcare professionals' views of smart glasses in intensive care: a qualitative study.

February 7, 2018

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.

January 17, 2018

November 15, 2017

Sustained user engagement in health information technology: the long road from implementation to system optimization of computerized physician order entry and clinical decision support systems for prescribing in hospitals in England.

November 1, 2017

Incidence and severity of prescribing errors in parenteral nutrition for pediatric inpatients at a neonatal and pediatric intensive care unit.

October 4, 2017

A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety.

September 27, 2017

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

August 16, 2017

Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders.

July 26, 2017

Physician satisfaction with transition from CPOE to paper-based prescription.

July 12, 2017

See More About The Topic

Hospitals

Facility and Group Administrators

Information Professionals

Medicine

Epidemiology of Errors and Adverse Events

Technology-induced errors associated with computerized provider order entry software for older patients.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Technology-induced errors associated with computerized provider order entry software for older patients.

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