U.S. Department of Health & Human Services
Computerized Provider Order Entry (CPOE)
PATIENT SAFETY PRIMERS
Computerized Provider Order Entry
Device-related Complications (4)
Diagnostic Errors (3)
Identification Errors (11)
Discontinuities, Gaps, and Hand-Off Problems (18)
Medication Safety (291)
Medical Complications (9)
Nonsurgical Procedural Complications (1)
Surgical Complications (10)
Transfusion Complications (2)
Psychological and Social Complications (4)
Australia and New Zealand (10)
North America (245)
Clinical Guideline (1)
Journal Article (280)
Newspaper/Magazine Article (24)
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Special or Theme Issue (2)
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Epidemiology of Errors and Adverse Events (110)
Active Errors (87)
Latent Errors (35)
Near Miss (4)
Approach to Improving Safety
Computerized Provider Order Entry (CPOE)
Health Care Providers (249)
Health Care Executives and Administrators (250)
Non-Health Care Professionals (217)
Setting of Care
Psychiatric Facilities (1)
Residential Facilities (6)
Ambulatory Care (51)
Outpatient Surgery (1)
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Kozer E. AHRQ WebM&M [serial online]. June 2003.
The 2-Week Itch.
Cohen MR. AHRQ WebM&M [serial online]. April 2003.
Kaushal R. AHRQ WebM&M [serial online]. April 2003.
Too Tight Control.
Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.
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.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study.
Franklin BD, Reynolds M, Sadler S, et al. BMJ Qual Saf. 2014;23:629-638.
Prescribing errors resulting in adverse drug events: how can they be prevented?
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.
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.
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
Heparin overdose in three infants revisits hospital error issues.
Phend C. MedPage Today. November 26, 2007.
Unexplained Apnea under Anesthesia.
Barach P. AHRQ WebM&M [serial online]. February 2003.
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.
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.
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.
Errors associated with outpatient computerized prescribing systems.
Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
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.
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