Reducing Medication Errors and Improving Systems Reliability Using an Electronic Medication Reconciliation System (original) (raw)
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Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors
JAMA, 2005
DVERSE DRUG EVENTS (ADES) are estimated to injure or kill more than 770 000 people in hospitals annually. Prescribing errors are the most frequent source. Computerized physician order entry (CPOE) systems are widely viewed as crucial for reducing prescribing errors and saving hundreds of billions in annual costs. Computerized physician order entry system advocates include researchers, clinicians, hospital administrators, pharmacists, business councils, the Institute of Medicine, state legislatures, health care agencies, and the lay public. These systems are expected to become more prevalent in response to resident working-hour limitations and related care discontinuities 23 and will supposedly offset causes (eg, job dissatisfaction) and effects (eg, ADEs) of nursing shortages. Such a system is increasingly recommended for outpatient practices (BOX). Adoption of CPOE perhaps gathered such strong support because its promise is so great, effects of medica-See also pp 1223 and 1261.
Computerized Physician Order Entry (CPOE) in Reducing Medication Error: A Narrative Review
2019
Medication error leads to death and injury every day, causing lower quality of life and spend almost 1% of total global health expenditure. One of the solution of to prescribing error is using technology such as Computer Physician Order Entry (CPOE). This study purpose is to assess the use of CPOE in reducing medication error. The research method is a review of the narrative literature using systematic research, with 14 included studies. CPOE systems in hospitals were found to be capable of reducing medication errors especially in prescribing and administrative stage. However, CPOE system can be associated with new types of medication error, therefore, CPOE system must considered human factor, tailored according to the need of the hospital, and continuous training to reduce medication error.
Computerized Physician Order Entry System: A Review on Reduction of Medication Errors
Journal of Pharmaceutical Research, 2021
The advancement of computerized physician order entry system has delivered a fast social move in the realm of medication, introducing both new difficulties just as open doors for improving medicinal services. As clinicians work to adjust to the progressions forced by the CPOE, identification of best practices are required for CPOE’s effective implementation. Using the references of published articles on CPOE’s effective implementation and obstacles in its adherence in hospitals, this article aims to identify best practices and useful tools in effective implementation of CPOE. This review is based on a search of Medline, the Cochrane Database of Systemic Reviews, and citation lists of relevant publications. Subject heading and key words used include construction and working of CPOE, CPOE related errors, impact of CPOE on medication errors and obstacles in CPOE effective implementation. Only articles in English were included. Review Article Qureshi et al.; JPRI, 32(39): 27-33, 2020; A...
Computerized Physician Order Entry Systems and Medication Errors
JAMA, 2005
To the Editor: There are weaknesses in the study of the role of CPOE and medication errors by Dr Koppel and colleagues 1 that we would like to clarify. The CPOE system on which the conclusions of the article were drawn is now outdated, with greatly limited capabilities compared with current technology. Because more recent technologies have user interfaces that are more intuitive and better designed to fit physician workflow, this study should not be viewed as an indictment of CPOE at its current level of maturity.
The effect of a well-designed computerized physician order entry on medication error reduction
A B S T R A C T Introduction: Paper-based prescription orders, commonly having numerous medication errors, can increase adverse drug events (ADEs) and threaten the patient's safety. Computerized physician order entry (CPOE), as an appropriate alternative, can significantly reduce medication errors. This study aimed to investigate the effects of well-designed CPOE in reducing medication errors and ADEs. Method: Electronic databases including EBSCO Host, Web of Science, PubMed, SID, Google Scholar, Iranmedex, Irandoc were used to conduct the literature review. We reviewed all the papers published about CPOE and its impacts on medication errors from 1998 until 2015. Thus 56 articles were found. Considering the relevance of their title and abstract with the objectives of the study, and deleting repetitive cases, 32 articles were selected, among which 10 articles were directly related to the objectives of the study. Results:A number of studies indicate that CPOE can reduce the incidence of serious medication errors and ADEs. Nonetheless, there is evidence indicating that CPOE could negatively affect the patient's health if the system is not well-designed. Conclusion: The replacement of conventional, paper-based prescription orders with well-designed CPOEs in hospitals could play a key role in minimizing medication errors and improving the patients' safety. To this end, the CPOEs have to be designed according to recent standards and needs.
Journal of the American Medical Informatics Association, 2013
Objective To determine whether indication-based computer order entry alerts intercept wrong-patient medication errors. Materials and methods At an academic medical center serving inpatients and outpatients, we developed and implemented a clinical decision support system to prompt clinicians for indications when certain medications were ordered without an appropriately coded indication on the problem list. Among all the