View source for Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors

This is a review of the study entitled. Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors.   <ref name="Koppel 2005"> Ross Koppel, PhD; Joshua P. Metlay, MD, PhD; Abigail Cohen, PhD; Brian Abaluck, BS; A. Russell Localio, JD, MPH, MS; Stephen E. Kimmel, MD, MSCE; Brian L. Strom, MD, MPH. JAMA. 2005;293(10):1197-1203. doi:10.1001/jama.293.10.1197.  Retrieved from http://jama.jamanetwork.com/article.aspx?articleid=200498</ref>

==Background==
This article touches bases on how CPOE plays an enormous role in facilitating medication errors.  It also focuses on the types and existence of medication errors

==Method==  
Qualitative and Quantitative study among house staff at a tertiary-care teaching hospital.
The methods used were one-on-one Interviews, Focus Group, Expert Interviews, Shadowing and Observation.
*House staff
*Information technology leaders
*Pharmacy leaders
*Attending physicians
*Nurses

**Participants were paid $40, group size 7-18 hours spent 1.4-2

==Results==
22 types of medication errors risk were founds, for example
*Fragmented CPOE displays that prevent a coherent view of patients medication
*Pharmacy inventory displays mistaken for dosage guidelines
*Ignored antibiotic renewal notices
*Double dosing and incompatible orders
*Inflexible ordering generating wrong orders.  
These 22 medication errors were grouped into two categories:  Information Errors and Human-Machine Interface Flaws.  
Out of the clinical staff 94 interns were contacted and out of the 94, 85 participated.  

==Conclusion==
In order to help prevent future errors clinical staff and physicians among others must attend to the current errors of the CPOE system.  


==Advantages of CPOE Systems Compared to paper-based systems==
*Handwriting free errors
*Faster responds time to pharmacy
*Less error with similar Drug Names
*Linking to ADE reporting easier 
*Reduces incorrect drug choices
*Reduces underprescribing and overprescribing 



==References==
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[[Category:HI5313 SP15]]
[[Category:Reviews]]
[[Category:CPOE]]
[[Category:EHR]]