Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: A before and after study

PLoS Medicine

Volumn 9, Issue 1, 2012, Pages

  Westbrook, Johanna I ^a   Reckmann, Margaret ^a   Li, Ling ^a   Runciman, William B ^b   Burke, Rosemary ^c   Lo, Connie ^a,f   Baysari, Melissa T ^d   Braithwaite, Jeffrey ^d   Day, Richard O ^d,e  

^a UNIVERSITY OF NEW SOUTH WALES   (Australia)

^b UNIVERSITY OF SOUTH AUSTRALIA   (Australia)

^c ANZAC Research Institute   (Australia)

^d UNIVERSITY OF NEW SOUTH WALES   (Australia)

^e ST VINCENT S HOSPITAL   (Australia)

^f SYDNEY SOUTH WEST AREA HEALTH SERVICE   (Australia)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; AUSTRALIA; CLINICAL EFFECTIVENESS; COMMERCIAL PHENOMENA; CONTROLLED STUDY; ELECTRONIC PRESCRIBING; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MEDICAL ERROR; MEDICAL RECORD; MEDICATION ERROR; OUTCOME ASSESSMENT; PRESCRIBING ERROR; CLASSIFICATION; PHARMACIST; PRESCRIPTION; STATISTICS; TEACHING HOSPITAL;

AUSTRALIA; DRUG PRESCRIPTIONS; ELECTRONIC PRESCRIBING; HOSPITALS, TEACHING; INPATIENTS; MEDICATION ERRORS; PHARMACISTS;

EID: 84856495580     PISSN: 15491277     EISSN: 15491676     Source Type: Journal    
DOI: 10.1371/journal.pmed.1001164     Document Type: Article

References (47)

1. Bates D, Teich J, Lee J, Segar D, Kuperman G, et al. (1999) The impact of computerized physician order entry on medication error prevention. J Am Med Inform Assoc 6: 313-321.
2. Bates D, Leape L, Cullen D, Laird N, Peterson L, et al. (1998) Effect of computerized order entry and a team intervention on prevention of serious medication errors. JAMA 280: 1311-1316.
3. Institute of Medicine (2007) Preventing medication errors Washington (D.C.) National Academy Press.
4. Roughead E, (1999) The nature and extent of drug-related hospitalisations in Australia. J Qual Clin Pract 19: 19-22.
5. Westbrook J, Woods A, Rob MI, Dunsmuir WTM, Day R, (2010) Association of interruptions with increased risk and severity of medication administration errors. Arch Intern Med 170: 683-690.
6. Black A, Car J, Pagliari C, Anandan C, Cresswell K, et al. (2011) The impact of eHealth on the quality and safety of health care: a systematic overview. PLoS Med 8: e1000387 doi:10.1371/journal.pmed.1000387.
7. Chaudhry B, Wang J, Wu S, Maglione M, Mojica W, et al. (2006) Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care. Ann Intern Med 144: 742-752.
8. McKibbon K, Lokker C, Handler S, Dolovich LR, Holbrook A, et al. (2011) Enabling medication management through health information technology Rockville (Maryland) Agency for Healthcare Research and Quality pp. 1-925.
9. Reckmann M, Westbrook J, Koh Y, Lo C, Day R, (2009) Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review. J Am Med Inform Assoc 16: 613-623.
10. Ash JS, Berg M, Coiera E, (2004) Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inform Assoc 11: 104-112.
11. Koppel R, Metlay J, Cohen A, Abaluck B, Localio A, et al. (2005) Role of computerized physician order entry systems in facilitating medication errors. JAMA 293: 1197-1203.
12. Westbrook J, Braithwaite J, Georgiou A, Ampt A, Creswick N, et al. (2007) Multi-method evaluation of information and communication technologies in health in the context of wicked problems and socio-technical theory. J Am Med Inform Assoc 14: 746-755.
13. Day R, Roffe D, Richardson K, Baysari M, Brennan N, et al. (2011) Implementing electronic medication management at an Australian teaching hospital. Med J Aust 195: 498-502.
14. Ash JS, Stavri PZ, Kuperman GJ, (2003) A consensus statement on considerations for a successful CPOE implementation. J Am Med Inform Assoc 10: 229-234.
15. Callen J, Braithwaite J, Westbrook J, (2007) Cultures in hospitals and their influence on attitudes to, and satisfaction with, the use of clinical information systems. Soc Sci Med 65: 635-639.
16. Callen J, Braithwaite J, Westbrook J, (2008) Context implementation model: a model for assisting clinical information system implementation. J Am Med Inform Assoc 15: 255-262.
17. Han Y, Carcillo J, Venkataraman S, Clarke R, Watson R, et al. (2005) Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 116: 1506-1512.
18. Lo C, Burke R, Westbrook J, (2010) Comparison of pharmacists' work patterns on hospital wards with and without an electronic medication management system (eMMS). J Pharm Pract Res 40: 108-112.
19. Fieller E, (1954) Some problems in interval estimation. J R Stat Soc Series B Stat Methodol 16: 175-185.
20. SAS Institute SAS Proprietary Software Release 9.2 Cary (North Carolina) SAS Institute.
21. Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U, (2008) The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inform Assoc 15: 585-600.
22. Strom B, Schinnar R, Bilker W, Hennessy S, Leanard C, et al. (2010) Randomized clinical trial of a customized electronic alert requiring an affirmative response compared to a control group receiving a commercial passive CPOE alert: NSAID-warfarin co-prescribing as a test case. J Am Med Inform Assoc 17: 411-415.
23. Terrell D, Perkins K, Dexter A, Hiui P, Callahan C, et al. (2009) Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patient: a randomized controlled trial. J Am Geriatric Soc 57: 13881394.
24. Bennett JW, Glasziou P, Del Mar C, De Looze F, (2003) A computerised prescribing decision support system to improve patient adherence with prescribing. A randomised controlled trial. Aust Fam Physcian 32: 667-671.
25. Garg A, Adhikari N, McDonald H, (2005) Effects of computerized clinical decision support systems on practitioner performance and patient outcomes. A systematic review. JAMA 293: 1223-1238.
26. Hunt D, Haynes B, Hanna S, Smith K, (1998) Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review. JAMA 280: 1339-1346.
27. Khorasani R, (2001) Computerized physician order entry and decision support: improving the quality of care. Radiographics 21: 1015-1018.
28. Wolfstadt JI, Gurwitz JH, Field TS, Lee M, Kalkar S, et al. (2008) The effect of computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic review. J Gen Intern Med 23: 451-458.
29. Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL, (2006) A survey of factors affecting clinician acceptance of clinical decision support. BMC Medical Informatics & Decision Making 6: 6.
30. Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, et al. (2003) Ten commandments for effective clinical decision support: making the practice of evidence-based medicine a reality. J Am Med Inform Assoc 10: 523-530.
31. Baysari M, Westbrook J, Day R, (2011) Narrative review: errors in selecting medicines for prescription and the role of computerized decision support. Drug Safety 34: 289-298.
32. Bobb AM, Payne TH, Gross PA, (2007) Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. J Am Med Inform Assoc 14: 41-47.
33. Coiera E, Westbrook J, Wyatt J, (2006) The safety and quality of decision support systems. Meth Inform Med 45: S20-25.
34. Colombet I, Bura-Riviere A, Chatila R, Chatellier G, Durieux P, (2004) Personalized versus non-personalized computerized decision support system to increase therapeutic quality control of oral anticoagulant therapy: an alternating time series analysis. BMC Health Ser Res 4: 27.
35. Elwyn G, Legare F, van der Weijden T, Edwards A, May C, (2008) Arduous implementation: does the Normalisation Process Model explain why it's so difficult to embed decision support technologies for patients in routine clinical practice. Implement Sci 3: 57.
36. Osheroff JA, Pifer EA, Teich JM, Sittig DF, Jenders RA, (2005) Improving outcomes with clinical decision support: an implementer's guide Chicago Healthcare Information and Management Systems Society.
37. Baysari M, Westbrook J, Richardson K, Day R, (2011) The influence of computerized decision support on prescribing during ward-rounds: are the decision-makers targeted? J Am Med Inform Assoc 18: 754-759.
38. Coombes I, Stowasser D, Reid C, Mitchell C, (2009) Impact of a standard medication chart on prescribing errors: a before and after audit. Qual Safety Healthcare 18: 478-485.
39. Savage I, Cornford T, Klecun E, Barber N, Clifford S, et al. (2010) Medication errors with electronic prescribing (eP): two views of the same picture. BMC Hlth Ser Res 10.
40. Cornford T, Savage I, Jani Y, Dean Franklin B, Barber N, et al. (2010) Learning lessons from electronic prescribing implementations in secondary care. In: Safran C, Reti S, Marin H, editors. 13th World Congress on Medical Informatics Amsterdam IOS Press.
41. Catwell L, Sheikh A, (2009) Evaluating eHealth interventions: the need for continuous systematic evaluation. PLoS Med 6: e1000126 doi:1000110.1001371/journal.pmed.1000126.
42. Cochrane Effective Practice and Organisation of Care Group Cochrane Effective Practice and Organisation of Care (EPOC) Group Ottawa, Canada Cochrane Collaboration.
43. Greenhalgh T, Srtamer K, Bratan T, Byrne E, Russell J, et al. (2010) The devil's in the detail: final report of the independent evaluation of the Summary Care Record and HealthSpace programs London University College London.
44. Greenhalgh T, Russell J, (2010) Why do evaluations of eHealth programs fail? An alternative set of guiding principles. PLoS Med 7: e1000360 doi:1000310.1001371/journal.pmed.1000360.
45. Lilford R, Foster J, Pringle M, (2009) Evaluating eHealth: how to make evaluation more methodologically robust. PLoS Med 6: e1000186 doi:1000110.1001371/journal.pmed.1000186.
46. Georgiou A, Ampt A, Creswick N, Westbrook J, Braithwaite J, (2009) Computerized provider order entry-What are health professionals concerned about? A qualitative study in an Australian hospital. Int J Med Inform 78: 60-70.
47. New South Wales Health Department (2005) Severity Assessment Code (SAC) Matrix Sydney NSW Health.