Potential medication errors associated with computer prescriber order entry

International Journal of Clinical Pharmacy

Volumn 35, Issue 4, 2013, Pages 577-583

  Villamañán, Elena ^a   Larrubia, Yolanda ^a   Ruano, Margarita ^a   Vélez, Manuel ^a   Armada, Eduardo ^a   Herrero, Alicia ^a   Álvarez Sala, Rodolfo ^a  

^a HOSPITAL UNIVERSITARIO LA PAZ   (Spain)

Author keywords

Computerized physician order entry system; COPE; Hospital pharmacy; Medication errors; Prescribing; Spain

Indexed keywords

ANALGESIC AGENT; ANTIINFECTIVE AGENT;

ARTICLE; CLINICAL DECISION MAKING; CLINICAL PRACTICE; COMPUTERIZED PROVIDER ORDER ENTRY; DOSAGE SCHEDULE COMPARISON; DOSE CALCULATION; DRUG ADMINISTRATION; DRUG CHOICE; DRUG CLASSIFICATION; DRUG HYPERSENSITIVITY; DRUG INDICATION; DRUG INTERACTION; HEALTH CARE PLANNING; HOSPITAL PATIENT; HOSPITAL PHARMACY; HUMAN; LONGITUDINAL STUDY; MEDICAL ERROR; MEDICAL INFORMATION; MEDICAL SPECIALIST; NURSING CARE; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PATIENT SAFETY; PERIOPERATIVE PERIOD; PHARMACIST; PILOT STUDY; PREOPERATIVE PERIOD; PRESCRIPTION; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; QUANTITATIVE ANALYSIS; SURGERY; TERTIARY HEALTH CARE; TRAINING; TREATMENT DURATION; TREATMENT FAILURE;

HUMANS; LONGITUDINAL STUDIES; MEDICAL ORDER ENTRY SYSTEMS; MEDICATION ERRORS; MEDICATION SYSTEMS, HOSPITAL; OUTCOME ASSESSMENT (HEALTH CARE); PHARMACISTS; PHARMACY SERVICE, HOSPITAL; TERTIARY CARE CENTERS;

EID: 84881138229     PISSN: 22107703     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11096-013-9771-2     Document Type: Article

References (26)

1. Poon EG, Keohane CA, Yoon CS, Ditmore M, Bane A, Levtzion-Korach O, et al. Effect of bar-code technology on the safety of medication administration. N Engl J Med. 2010;362:1698-707.
2. Bobb A, Gleason K, Husch M, Feinglas J, Yarnold PR, Noskin GA. The epidemiology of prescribing errors. The potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164:785-92. (Pubitemid 38478702)
3. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients. Results of the harvard medical practice study II. N Engl J Med. 1991;324:377-84.
4. Bates DW, Cullen DJ, Larid N, Peterson L, Small SD, Servi D, et al. Incidence of adverse drug events and potential adverse drug events. Implications for prevention. JAMA. 1995;274:29-34.
5. Bates DW, Kuperman G, Teicc JM. Computerized physician order entry and quality of care. Qual Manag Health Care. 1994;2:18-27.
6. Bates DW, Leape LL, Cullen DJ, Laird N, Petersen LA, Shea B, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1311-6. (Pubitemid 28473716)
7. Villamañán E, Herrero A, Álvarez-Sala R. Prescripción electrónica asistida como nueva tecnología para la seguridad del paciente hospitalizado. Med Clin (Barc). 2011;136:398-402.
8. Villamañán E, Herrero A, Álvarez-Sala R. The assisted electronic prescription in patients hospitalized in a chest diseases ward. Arch Bronconeumol. 2011;47:138-42.
9. Villamañán E, Larrubia Y, Ruano M, Herrero A, Álvarez-Sala R. Strategies for improving documentation and reducing medication errors related to drug allergy. Int J Clin Pharm. 2011;33:879-80.
10. Bates DW, Grawande AA. Patient safety. Improving safety with information technology. N Engl J Med. 2003;348:2526-34. (Pubitemid 36706541)
11. Kaushal R, Jha AK, Franz C, Glaser T, Shetty KD, Jaqqi T, et al. Return on investment for a computerized physician order entry system. J Am Med Inf Assoc. 2006;13:261-6.
12. Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: the nature of patient care information system-related errors. J Am Med Inf Assoc. 2004;11:104-12. (Pubitemid 38327498)
13. Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inf Assoc. 2004;11:100-3. (Pubitemid 38327497)
14. Harrison MI, Koppel R, Bar-Lev S. Unintended consequences of information technologies in health care - an interactive sociotechnical analysis. J Am Med Inf Assoc. 2007;14:542-9. (Pubitemid 47379560)
15. Horsky J, Kuperman GJ, Patel VL. Comprehensive analysis of a medication dosing error related to CPOE. J Am Med Inf Assoc. 2005;12:377-82. (Pubitemid 40922897)
16. Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;9(293):1197-203. (Pubitemid 40327905)
17. Weiner J, Kfuri T, Chan K, Fowles J. "e-Iatrogenesis": the most critical unintended consequence of CPOE an other HIT. J Am Med Inf Assoc. 2007;14:387-8. (Pubitemid 46636347)
18. Kaushal R, Kaveh S, Bates DW. Effect of computerized physician order entry and clinical decision support systems on medication safety: a systemic review. Arch Intern Med. 2003;163:1409-16. (Pubitemid 36758913)
19. Koppel R, Metlay JP, Cohen A, Abaluck B. Russel Localio A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293:1197-203. (Pubitemid 40327905)
20. Campbell EM, Sitting DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. J Am Med Inf Assoc. 2006;13:547-56. (Pubitemid 44292018)
21. National Coordinating Council for Medication Error Reporting and prevention. NCCMERP. Taxonomy of medication errors. (Accessed 5 April 2013 at http://www.nccmerp.org/medErrorTaxonomy.html).
22. Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am Med Inf Assoc. 2008;15:585-600.
23. Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Prescription errors and outcomes related to inconsistent information transmitted through computerized order-entry: a prospective study. Arch Intern Med. 2009;169:982-9.
24. Evans RS, Pestotnik SL, Classen DC, Clemmer TP, Weaver LK, Orme JF Jr, et al. A computer-assisted management program for antibiotics and other antiinfective agents. N Engl J Med. 1998;338:232-8. (Pubitemid 28047578)
25. Eslami S, Keizer N, Abu-Hanna A. The impact of computerized physician medication order entry in hospitalized patients - a systemic review. Int J Med Inf. 2008;77:365-76. (Pubitemid 351626710)
26. Halpern SD, Ubel PA, Asch DA. Harnessing the power of default options to improve health care. N Engl J Med. 2007;357:1340-4. (Pubitemid 47481459)