Factors contributing to an increase in duplicate medication order errors after CPOE implementation

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Factors contributing to an increase in duplicate medication order errors after CPOE implementation : [1].

Introduction

Implementation of CPOE/ CDS are extremely beneficial in simplifying and optimizing the order management system, streamlining physicians’ and nurses’ workflow, minimizing medication errors and improving healthcare delivery. However, the implementation has to be planned and executed carefully to avoid issues that might arise out of inadequate planning , lack of attention to integration with existing workflows or other unintended consequences

Objective

The objective of the study was to study the incidence of duplicate medication orders before and after the implementation of a CPOE/ CDS system and to study contributory factors for the same.

Design

The authors carried out a prospective pre and post implementation study in a 400-bed Northeastern US community tertiary care teaching hospital and used chart review, computer-generated reports of medication orders, provider alerts, and staff reports to identify medication errors in two intensive care units (ICUs) [1].








References

  1. 1.0 1.1 Wetterneck, T. B., Walker, J. M., Blosky, M. A., Cartmill, R. S., Hoonakker, P., Johnson, M. A., … Carayon, P. (2011). Factors contributing to an increase in duplicate medication order errors after CPOE implementation. Journal of the American Medical Informatics Association : JAMIA, 18(6), 774–782. doi:10.1136/amiajnl-2011-000255. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3198002/?tool=pmcentrez