Remote CPOE error—a situation that's more than remotely possible.
Approach to Improving Safety
- Human Factors Engineering
- Computerized Adverse Event Detection
- Computerized Provider Order Entry (CPOE)
Setting of Care
This article describes a wrong-patient drug error that was prescribed using a computerized prescriber order entry (CPOE) system and presents recommendations for improvement in the prescribing, dispensing, and administration phases of the process.