Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events
Introduction
The objective of the research was to examine the benefits of and barriers to computerized physician order entry CPOE adoption in hospitals, to determine the effects on medical errors and Adverse drug event ADEs and examine cost and savings associated with the implementation of CPOE. This study used a systemic review and referenced 50 sources.
Methods
The literature review and review of case studies was performed in January to May 2013 and September 2013 to March 2014. Electronic databases were searched for the terms “CPOE” OR “Computerized Physician Order Entry” OR “Electronic Prescribing” AND “Medical Errors” OR “ADEs” OR “Adoption” OR “Implementation” AND “Meaningful Use” OR “HITECH”,Agency for Healthcare Research and Quality, Health Affairs, and CMS. After analysis 154 references were found and 51 citations were used for the study. The results were structured in groups that described the benefits of and barriers to implementation and adoption of CPOE systems.
Results
Because preventable medical errors and ADEs have increased from 98,000 reported cases in 2000 to 210,000 cases in 2013, it is a patient safety imperative for healthcare providers to implement utilization of CPOE systems. A 2012 study estimated that utilizing a CPOE system could potentially reduce medical errors by as much as 48 percent. http://www.ihi.org/resources/Pages/Publications/ReductionMedicationErrorsinHospitalsAdoptionCPOE.aspx Other benefits identifed in using CPOE included;
- Increase in the accessibility of the patient’s medical records
- The ability for a physician to work off-site and still have access to information about a patient’s past visits
- Reduction in prescription ordering by the physicians
- Increased in coordination of care
Conclusion
Comments
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