Difference between revisions of "Can Utilizing a Computer Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events?"

From Clinfowiki
Redirect page
Jump to: navigation, search
m
 
(34 intermediate revisions by 6 users not shown)
Line 1: Line 1:
 +
#REDIRECT [[Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events?]]
 +
 +
='''NOTE'''=
 +
The content below has been merged into [[Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events?]]
 +
 +
This is a review of an article by Charles,K, Cannon, M, Hall, R and Coustasse, A (2014). Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? <ref name Charles et al (2014)">Charles K, Cannon M, Hall R, Coustasse A. Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? ''Perspectives in Health Information Management.'' 2014;11(Fall):1b. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4272436/</ref>
  
This is a review of an article by Charles,K, Cannon, M, Hall, R and Coustasse, A (2014). Can Utilizing a Computer Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? <ref name Charles et al (2014)">http://www-ncbi-nlm-nih-gov.ezproxyhost.library.tmc.edu/pmc/articles/PMC4272436/</ref>
 
 
==Abstract==
 
==Abstract==
This is a review of a study that examines the benefits of and barriers to implementing [[Computerized provider order entry]] [[CPOE]] [http://clinfowiki.org/wiki/index.php/Computerized_physician_order_entry]. The study noted that CPOE combined with [[Clinical decision support system]] [[CDS]] is capable of reducing medical errors and Adverse drug effects. However, it states those benefits comes with the burden of high implementation cost and practitioners’ resistance to change.
+
This is a review of a study that examines the benefits of and barriers to implementing [[CPOE]] [http://clinfowiki.org/wiki/index.php/Computerized_physician_order_entry]. The study noted that CPOE combined with [[CDS]] is capable of reducing [http://www.clinfowiki.org/wiki/index.php/Medication_errors  medical errors] and [[Adverse drug event | adverse drug events]]. However, it states those benefits comes with the burden of high implementation cost and practitioners’ resistance to change.
  
 
==Introduction==
 
==Introduction==
Charles et al (2014) states that, in 2009 [[HITECH]]act came to an effect. Under it, [[Meaningful use]] of [[Electronic health record (EHR)]] was defined and CPOE system is part of all the stages of meaningful use program. In addition, the article noted 200,000 people die annually as a result of preventable medical error and additional, 770,000 patient injuries and death resulted form ADEs. It is believed that CPOE decreases those numbers significantly and increase patient safety.  
+
Charles et al (2014) states that, in 2009 [[HITECH]]act came to an effect. Under it, [[Meaningful use]] of [[Electronic health record (EHR)]] was defined and CPOE system is part of all the stages of meaningful use program. In addition, the article noted 200,000 people die annually as a result of preventable medical error and additional, 770,000 patient injuries and death resulted form [[Adverse drug event| ADEs]]. It is believed that CPOE decreases those numbers significantly and increase patient safety.
 +
 
 
==Method==
 
==Method==
 
According to the article the study used the basic principle of a systematic review that incudes the following actions: literature identification and collection, literature analysis and literature categorization. Further, the review was done from January to May2013 and from September 2013 to March 2014. Meanwhile, the articles reviewed were published between 2005 and 2014.
 
According to the article the study used the basic principle of a systematic review that incudes the following actions: literature identification and collection, literature analysis and literature categorization. Further, the review was done from January to May2013 and from September 2013 to March 2014. Meanwhile, the articles reviewed were published between 2005 and 2014.
 +
 
==Result==
 
==Result==
 
Benefits of CPOE adoption
 
Benefits of CPOE adoption
Line 35: Line 42:
 
Medical errors and ADEs can be significantly reduced by implementing CPOE, suggested the article. On top of that, CPOE coupled with CDSS increases patient safety and improves care quality. Yet, implementation cost has been the major barrier for wider adoption of CPOE at different levels of healthcare systems.
 
Medical errors and ADEs can be significantly reduced by implementing CPOE, suggested the article. On top of that, CPOE coupled with CDSS increases patient safety and improves care quality. Yet, implementation cost has been the major barrier for wider adoption of CPOE at different levels of healthcare systems.
  
==References==
+
==Second Review==
<references/>
+
  
 +
===Introduction===
 +
The article beginnings by explaining the [[HITECH]] Act and the goals set forward for the use of [[Health information technology]]. It is explained that [[meaningful use]] is a standard for a certified [[electronic health record]]. The author explains that there are many patient injuries and deaths due to adverse drug events and preventable medical errors.
  
[[Category: Reviews]]
+
===Methods===
[[Category: CPOE]]
+
The author used a three step process for this study:
 +
1. Literature Identification and Collection
 +
2. Literature Analysis
 +
3. Literature Categorization.
 +
 
 +
===Results===
 +
The author found that multiple benefits can be found from the adoption of CPOE such as: increased availability in the medical record, ability for physicians to work remotely, increase coordination of care and an estimated 70% reduction in medication errors. It was also estimated that a $7 to $16 million were saved due to reduction in adverse drug events.
 +
 
 +
===Conclusion===
 +
The article shows many examples in which CPOE has increased patient safety and quality of care. It also shows the financial benefit it can have due to avoidance of repeated tests and reduction in ADEs.
 +
 
 +
===Comments===
 +
This article is a compilation of many studies that have been done on the impact of CPOE. It is clear that many institutions have seen a positive impact when a well designed CPOE system is implemented. The article also points out that regardless of all the positive impact shown in previous studies the implementation of CPOE still faces resistance.
 +
 
 +
==References==
 +
<references/>

Latest revision as of 02:28, 6 November 2015