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Search results for "Clinical Information Systems"
- Clinical Information Systems
- Computerized Provider Order Entry (CPOE)
- Department of Veterans Affairs (VA)
Journal Article > Study
Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.
Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.
Computerized provider order entry (CPOE) effectively prevents actual and potential medication errors, but a growing body of research has characterized new errors that may occur after implementation of CPOE. A new type of error is characterized in this study, in which investigators examined inconsistencies between CPOE order templates and free-text fields within the system. Approximately 1% of orders contained inconsistencies, usually relating to drug dosing. These inconsistencies had high potential for causing adverse drug events, as many occurred in orders for high-risk medications. This study reinforces the importance of integrating CPOE systems with provider workflow.
Journal Article > Meeting/Conference Proceedings
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
Increasing the use of electronic health records (EHRs) is a major policy priority, as implementation has been slow both in the United States and in other countries. This survey of nearly 3000 US hospitals found that less than 2% had a fully functional EHR (defined as incorporating clinical documentation, laboratory and imaging results, computerized provider order entry, and clinician decision support). Survey respondents cited cost and maintenance considerations as major barriers to adopting EHRs, concerns that have been cited in prior research. Given that most outpatient practices also do not use electronic records, the authors recommend several policy initiatives to spur EHR implementation.
Journal Article > Commentary
Case study: identifying potential problems at the human/technical interface in complex clinical systems.
Caudill-Slosberg M, Weeks WB. Am J Med Qual. 2005;20:353-357.
The authors present a case study to illustrate system vulnerabilities related to computerized physician order entry (CPOE) use.