AHRQ Patient Safety Network

The Collection > Computerized Provider Order Entry (CPOE)

PATIENT SAFETY PRIMERS
Computerized Provider Order Entry

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (3)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Medication Safety (264)

•Medical Complications (9)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (10)

•Transfusion Complications (2)

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•Asia (5)

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•Clinical Guideline (1)

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•Newspaper/Magazine Article (24)

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•Special or Theme Issue (2)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (98)

•Active Errors (79)

•Latent Errors (26)

•Near Miss (4)

Approach to Improving Safety
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Computerized Provider Order Entry (CPOE)

Clinical Areas

•Medicine (198)

•Nursing (12)

•Pharmacy (121)

Target Audience

•Health Care Providers (224)

•Health Care Executives and Administrators (228)

•Non-Health Care Professionals (190)

•Patients (10)

Setting of Care

•Hospitals (201)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (39)

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1 - 20 of 300

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COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Too Tight Control.

Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.

STUDY

Using CPOE to improve communication, safety, and policy compliance when ordering pediatric chemotherapy.

Crossno CL, Cartwright JA, Hargrove FR. Hosp Pharm. 2007;42:368–373.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.

Wakefield DS, Ward MM, Loes JL, O'Brien J, Sperry L. Am J Health Syst Pharm. 2010;67:2052-2057.

COMMENTARY

Overriding Considerations.

Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

NEWSPAPER/MAGAZINE ARTICLE

Heparin overdose in three infants revisits hospital error issues.

Phend C. MedPage Today. November 26, 2007.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

STUDY

Errors associated with outpatient computerized prescribing systems.

Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.

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