Search results for "Ordering/Prescribing Errors"
- Monitoring Errors and Failures
- Ordering/Prescribing Errors
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Journal Article > Study
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Palen TE, Raebel M, Lyons E, Magid DM. Am J Manag Care. 2006;12:389-395.
Increased use of computerized physician order entry (CPOE) systems has focused greater attention on integrating effective clinical decision support systems (CDSS) to modify prescribing behavior and reduce errors. This study randomized primary care physicians to receive specific laboratory monitoring alerts for a selected group of medications and compared their practices to a control group that received no CDSS. Investigators found no difference between the two physician groups. They discuss the tension between having too many reminders and effectively delivering important reminders. These findings mirror those of a past review that suggested the impact of CDSS on patient outcomes compared to the impact on care without CDSS remains unclear, with a need for better evaluative strategies.
Cases & Commentaries
One ACE Too Many
- Web M&M
David N. Juurlink, BPhm, MD, PhD; July 2006
A patient presenting to the ED with chest pain was ruled out for MI, and discharged on an ACE inhibitor. Two weeks later, he returns with a critically elevated potassium level, has a cardiac arrest, and dies.
Journal Article > Study
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Rochon PA, Field TS, Bates DW, et al. J Am Geriatr Soc. 2005;53:1780-1789.
The investigators in this AHRQ-funded project offer insights from their experience in implementing computerized provider order entry (CPOE) in a geriatric care setting.
Journal Article > Commentary
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:556-557.
This monthly selection of medication error reports provides examples from the field of potential errors and helpful tips on how to avoid similar mistakes.
Cases & Commentaries
Bleeding Risk
- Web M&M
Mark A. Crowther, MD, MSc; July 2003
Inadequate monitoring and management of warfarin places patient at significant risk of harm.