Difference between revisions of "Duplicate Orders: An Unintended Consequence of Computerized provider/physician order entry (CPOE) Implementation"
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The authors’ objective in this report was to describe the nature of duplicate orders, report their analysis of them and describe the methods used to reduce them. | The authors’ objective in this report was to describe the nature of duplicate orders, report their analysis of them and describe the methods used to reduce them. | ||
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| + | == Methods == | ||
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| + | Duplicate medication orders (“duplicates”) were defined for the study as two or more active orders for the identical medication regardless of dose. The second order entered was labeled as the duplicate order. Certain orders were not considered to be duplicates and were excluded from analysis. These include:<ref name="Magid et al 2012"></ref> | ||
| + | * 1. Dose range ordering (e.g. acetaminophen: one pill for mild pain and two pills for severe pain) | ||
| + | * 2. Combination drug plus component (e.g. losartan/HCTZ plus HCTZ or Percocetv plus acetaminophen) | ||
| + | * 3. The same drug prescribed for different indications (e.g. acetaminophen for pain and acetaminophen for fever) | ||
| + | * 4. Large volume parenterals | ||
== References== | == References== | ||
Revision as of 07:11, 2 April 2015
This is a review of Magid, Forrer, and Shaha’s 2012 article, Duplicate Orders: An Unintended Consequence of Computerized provider/physician order entry (CPOE) Implementation: Analysis and Mitigation Strategies [1]
Background
The benefits of computerized provider/physician order entry (CPOE) have been identified after many research trials. CPOE, particularly with clinical decision support (CDS), has been shown to increase patient safety. CPOE has also been reported to improve:[1]
- The utilization of health care services
- Decrease costs
- Reduce hospital length of stay
- Decrease medical errors
- Improve compliance with guidelines
CPOE systems improve legibility and decrease errors relating to look-alike, sound-alike medications. Reductions in medication errors have been noted for:[1]
- Dosing
- Frequency
- Route
- Substitution
- Allergies
The authors’ objective in this report was to describe the nature of duplicate orders, report their analysis of them and describe the methods used to reduce them.
Methods
Duplicate medication orders (“duplicates”) were defined for the study as two or more active orders for the identical medication regardless of dose. The second order entered was labeled as the duplicate order. Certain orders were not considered to be duplicates and were excluded from analysis. These include:[1]
- 1. Dose range ordering (e.g. acetaminophen: one pill for mild pain and two pills for severe pain)
- 2. Combination drug plus component (e.g. losartan/HCTZ plus HCTZ or Percocetv plus acetaminophen)
- 3. The same drug prescribed for different indications (e.g. acetaminophen for pain and acetaminophen for fever)
- 4. Large volume parenterals
