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- Communication Improvement 5
- Culture of Safety 1
- Education and Training 4
- Error Reporting and Analysis 3
- Human Factors Engineering 8
- Legal and Policy Approaches 2
- Quality Improvement Strategies 8
- Specialization of Care 2
- Teamwork 1
Clinical Information Systems
- Computerized Provider Order Entry (CPOE)
- Clinical Information Systems
- Device-related Complications 1
- Diagnostic Errors 1
- Drug shortages 1
- Identification Errors 1
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 21
- Transfusion Complications 1
- Medicine 17
- Pharmacy 14
- Health Care Executives and Administrators 21
Health Care Providers
- Nurses 2
- Non-Health Care Professionals 18
- Patients 5
Search results for "Computerized Provider Order Entry (CPOE)"
- Newspaper/Magazine Article
- Computerized Provider Order Entry (CPOE)
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
Insulin is a high-alert drug, and its use is becoming more complex due to the insulin resistance in diabetic patients with obesity. This newsletter article describes the experience of one hospital system that worked to ensure safe insulin administration by implementing a strategy that combined single-use pens and health information technology.
Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3,6.
How electronic medication-related information is communicated presents unique challenges to safe medication administration. This newsletter article discusses the field review of a set of evidence-based guidelines to provide direction and ensure safe transmission of information contained in electronic systems.
Mismatched prescribing and pharmacy templates for parenteral nutrition (PN) lead to data entry errors.
ISMP Medication Safety Alert! Acute Care Edition. June 28, 2012;17:1-3.
This newsletter article discusses an error involving a parenteral nutrition order and recommends strategies to prevent errors associated with automated compounding devices and order entry software.
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.
This piece identifies situations in which patient verification errors occur and provides strategies to address them.
ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
This article reports results of a national survey on how "tall man" lettering has clarified high-consequence drug name confusion and includes a list of medication name pairs in such lettering.
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.
Dolan PL. American Medical News. July 19, 2010.
This news article reveals Leapfrog Group survey findings that more than 50% of computerized order entry systems do not trigger order error alerts as they should.
McGee MK. Information Week. April 28, 2010.
This news article details how research on errors related to computerized provider order entry may help prevent them in the future.
Hagland M. Healthc Informatics. 2009;26:40-44.
This article discusses approaching computerized provider order entry (CPOE) implementation from a patient safety perspective and shares success stories from numerous US hospitals.
ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.
This article discusses examples of confusion associated with the use of certain letters and numbers and describes both low-tech and high-tech solutions to clarify prescriptions.
Runy LA. Hosp Health Netw. 2009 May;83:8 p following 32, 2.
This condensed discussion shares information on safety issues that affect care for children.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.
Although shifting from paper-based or verbal orders to computerized physician order entry (CPOE) systems could reduce medical errors, a mere 8% of hospitals use the system and fewer implement it effectively, according to the Leapfrog Group CPOE evaluation tool.
Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.
This article describes strategies for integrating clinical decision support tools with computerized physician order entry systems.
Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. July/August 2008;5:22-25.
Phend C. MedPage Today. November 26, 2007.
Within the context of a recent high-profile heparin error, this article reports on systems and protocols available to prevent medication errors. Interviews with three patient safety experts are available alongside the article via streaming audio.
Ross C, Banchy P. Health Manage Tech. November 2007;28:22-24.
The authors explain the process their organization followed to successfully implement a computerized physician order entry system at two large Ohio health care facilities.
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
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.
Patton S. CIO Magazine. December 7, 2006.
The author describes some common mistakes involving the design and launch of computerized physician order entry (CPOE) initiatives and provides suggestions to support successful CPOE implementation efforts.
Ho V, Patton S. CIO Asia. September 2006.
This article discusses computerized physician order entry implementation in US and Asian hospital systems and provides insight into selecting a system and achieving team commitment to the development process.