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Approach to Improving Safety
- Communication Improvement 1
- Error Reporting and Analysis 3
- Specialization of Care 1
- Teamwork 1
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Technologic Approaches
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Clinical Information Systems
- Computerized Provider Order Entry (CPOE)
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Clinical Information Systems
Search results for "Computerized Provider Order Entry (CPOE)"
- Computerized Provider Order Entry (CPOE)
- Pediatric Medical Oncology
- Specific to High-Risk Drugs
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Journal Article > Study
Using CPOE to improve communication, safety, and policy compliance when ordering pediatric chemotherapy.
Crossno CL, Cartwright JA, Hargrove FR. Hosp Pharm. 2007;42:368–373.
The authors describe their experience using computerized provider order entry (CPOE) to improve the safety of chemotherapy ordering at a children's hospital.
Journal Article > Study
Error reduction in pediatric chemotherapy: computerized order entry and failure modes and effects analysis.
Kim GR, Chen AR, Arceci RJ, et al. Arch Pediatr Adolesc Med. 2006;160:495-498.
This study utilized a multidisciplinary team of oncology providers to conduct a failure mode and effects analysis (FMEA) and generate recommendations for implementing a computerized provider order entry (CPOE) system. Investigators tracked more than 1000 chemotherapy orders before and after CPOE implementation and discovered lower rates of ordering errors with the new process. Discussion includes specific recommendations that resulted from the FMEA and presentation of the error types (eg, order and treatment plan match, correct calculation, nursing checklist present) noted during the study period. The authors acknowledge the importance of CPOE as a tool to reduce chemotherapy-related medication errors and advocate for close collaboration among clinical and information technology experts to drive such interventions.
Journal Article > Study
Using Failure Mode and Effects Analysis for safe administration of chemotherapy to hospitalized children with cancer.
Robinson DL, Heigham M, Clark J. Jt Comm J Qual Patient Saf. 2006;32:161-166.
This study discusses the experiences of a single institution in using failure mode and effects analysis (FMEA) to develop strategies for reducing the risk of chemotherapeutic medication errors. The authors outline the operational steps in assembling a FMEA team, a detailed account of the process itself, and the mechanism by which they categorized their recommendations (ie, prescribing, dispensing, and administration). They further discuss the results of their experience, the strategies that were developed, and the postimplementation results. These results included a decreased error rate in prescribing, an increased use of preprinted order sets, and a decreasing number of dispensing and administration errors.
Journal Article > Study
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.
This small cohort study demonstrated that dosing or administration errors occurred with nearly 10% of oral chemotherapeutic drugs administered to pediatric outpatients.
Journal Article > Study
Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.
van Tilburg CM, Leistikow IP, Rademaker CM, Bierings MB, van Dijk AT. Qual Saf Health Care. 2006;15:58-63.
The authors applied the VA's Health Care Failure Mode and Effect Analysis (HFMEA) process to vincristine errors and found the tool to be effective in identifying failure.