U.S. Department of Health & Human Services
Computerized Decision Support
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (2)
Diagnostic Errors (28)
Identification Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (16)
Medication Safety (125)
Medical Complications (14)
Surgical Complications (5)
Transfusion Complications (3)
Psychological and Social Complications (1)
Australia and New Zealand (4)
North America (147)
Journal Article (171)
Newspaper/Magazine Article (16)
Special or Theme Issue (5)
Epidemiology of Errors and Adverse Events (45)
Active Errors (54)
Latent Errors (14)
Approach to Improving Safety
Computerized Decision Support
Health Care Providers (130)
Health Care Executives and Administrators (141)
Non-Health Care Professionals (145)
Setting of Care
Residential Facilities (7)
Ambulatory Care (26)
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Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.
Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.
Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.
Zsenits B, Polashenski WA, Sterns RH, Brown DR IV, Moheet A. J Hosp Med. 2009;4:308-312.
Overrides of medication-related clinical decision support alerts in outpatients.
Nanji KC, Slight SP, Seger DL, et al. J Am Med Inform Assoc. 2014;21:487-491.
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.
Wright A, Feblowitz J, Phansalkar S, et al. Am J Health Syst Pharm. 2012;69:221-227.
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
Electronic alerts to prevent venous thromboembolism among hospitalized patients.
Kucher N, Koo S, Quiroz R, et al. N Engl J Med. 2005;352:969-977.
Using computerized provider order entry and clinical decision support to improve referring physicians' implementation of consultants' medical recommendations.
Were MC, Abernathy G, Hui SL, Kempf C, Weiner M. J Am Med Inform Assoc. 2009;16:196-202.
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.
Use of electronic health records in US hospitals.
Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.
Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.
Cresswell KM, Bates DW, Williams R, et al. J Am Med Inform Assoc. 2014;21:e194-e202.
Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.
Dixon-Woods M, Redwood S, Leslie M, Minion J, Martin GP, Coleman JJ. Milbank Q. 2013;91:424-454.
Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.
Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.
A survey of factors affecting clinician acceptance of clinical decision support.
Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL. BMC Med Inform Decis Mak. 2006;6:6.
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
PCA safety data review after clinical decision support and smart pump technology implementation.
Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.
Standard practices for computerized clinical decision support in community hospitals: a national survey.
Ash JS, McCormack JL, Sittig DF, Wright A, McMullen C, Bates DW. J Am Med Inform Assoc. 2012;19:980-987.
Effective use of medication-related decision support in CPOE.
Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.
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