Literature DB >> 19717798

The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.

Jasperien E van Doormaal1, Patricia M L A van den Bemt, Rianne J Zaal, Antoine C G Egberts, Bertil W Lenderink, Jos G W Kosterink, Flora M Haaijer-Ruskamp, Peter G M Mol.   

Abstract

OBJECTIVE: This study evaluated the effect of a Computerized Physician Order Entry system with basic Clinical Decision Support (CPOE/CDSS) on the incidence of medication errors (MEs) and preventable adverse drug events (pADEs).
DESIGN: Interrupted time-series design. MEASUREMENTS: The primary outcome measurements comprised the percentage of medication orders with one or more MEs and the percentage of patients with one or more pADEs.
RESULTS: Pre-implementation, the mean percentage of medication orders containing at least one ME was 55%, whereas this became 17% post-implementation. The introduction of CPOE/CDSS has led to a significant immediate absolute reduction of 40.3% (95% CI: -45.13%; -35.48%) in medication orders with one or more errors. Pre-implementation, the mean percentage of admitted patients experiencing at least one pADE was 15.5%, as opposed to 7.3% post-implementation. However, this decrease could not be attributed to the introduction of CPOE/CDSS: taking into consideration the interrupted time-series design, the immediate change was not significant (-0.42%, 95% CI: -15.52%; 14.68%) because of the observed underlying negative trend during the pre-CPOE period of -4.04% [95% CI: -7.70%; -0.38%] per month.
CONCLUSIONS: This study has shown that CPOE/CDSS reduces the incidence of medication errors. However, a direct effect on actual patient harm (pADEs) was not demonstrated.

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Year:  2009        PMID: 19717798      PMCID: PMC3002127          DOI: 10.1197/jamia.M3099

Source DB:  PubMed          Journal:  J Am Med Inform Assoc        ISSN: 1067-5027            Impact factor:   4.497


  23 in total

Review 1.  Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review.

Authors:  Rainu Kaushal; Kaveh G Shojania; David W Bates
Journal:  Arch Intern Med       Date:  2003-06-23

2.  Segmented regression analysis of interrupted time series studies in medication use research.

Authors:  A K Wagner; S B Soumerai; F Zhang; D Ross-Degnan
Journal:  J Clin Pharm Ther       Date:  2002-08       Impact factor: 2.512

3.  Computerized physician order entry (CPOE) system: expectations and experiences of users.

Authors:  Jasperien E van Doormaal; Peter G M Mol; Rianne J Zaal; Patricia M L A van den Bemt; Jos G W Kosterink; Karin M Vermeulen; Flora M Haaijer-Ruskamp
Journal:  J Eval Clin Pract       Date:  2010-06-10       Impact factor: 2.431

4.  The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital.

Authors:  Jeffrey S Upperman; Patricia Staley; Kerri Friend; William Neches; David Kazimer; Jocelyn Benes; Eugene S Wiener
Journal:  J Pediatr Surg       Date:  2005-01       Impact factor: 2.545

5.  Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Authors:  Yong Y Han; Joseph A Carcillo; Shekhar T Venkataraman; Robert S B Clark; R Scott Watson; Trung C Nguyen; Hülya Bayir; Richard A Orr
Journal:  Pediatrics       Date:  2005-12       Impact factor: 7.124

6.  An algorithm for the operational assessment of adverse drug reactions. I. Background, description, and instructions for use.

Authors:  M S Kramer; J M Leventhal; T A Hutchinson; A R Feinstein
Journal:  JAMA       Date:  1979-08-17       Impact factor: 56.272

7.  A computer-assisted management program for antibiotics and other antiinfective agents.

Authors:  R S Evans; S L Pestotnik; D C Classen; T P Clemmer; L K Weaver; J F Orme; J F Lloyd; J P Burke
Journal:  N Engl J Med       Date:  1998-01-22       Impact factor: 91.245

8.  Preventing adverse drug events in hospitalized patients.

Authors:  R S Evans; S L Pestotnik; D C Classen; S D Horn; S B Bass; J P Burke
Journal:  Ann Pharmacother       Date:  1994-04       Impact factor: 3.154

9.  Role of computerized physician order entry systems in facilitating medication errors.

Authors:  Ross Koppel; Joshua P Metlay; Abigail Cohen; Brian Abaluck; A Russell Localio; Stephen E Kimmel; Brian L Strom
Journal:  JAMA       Date:  2005-03-09       Impact factor: 56.272

10.  Effect of computerized physician order entry and a team intervention on prevention of serious medication errors.

Authors:  D W Bates; L L Leape; D J Cullen; N Laird; L A Petersen; J M Teich; E Burdick; M Hickey; S Kleefield; B Shea; M Vander Vliet; D L Seger
Journal:  JAMA       Date:  1998-10-21       Impact factor: 56.272

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  43 in total

1.  Detecting pregnancy use of non-hormonal category X medications in electronic medical records.

Authors:  Brian L Strom; Rita Schinnar; Joshua Jones; Warren B Bilker; Mark G Weiner; Sean Hennessy; Charles E Leonard; Peter F Cronholm; Eric Pifer
Journal:  J Am Med Inform Assoc       Date:  2011-11-09       Impact factor: 4.497

2.  Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.

Authors:  Aileen B Dequito; Peter G M Mol; Jasperien E van Doormaal; Rianne J Zaal; Patricia M L A van den Bemt; Flora M Haaijer-Ruskamp; Jos G W Kosterink
Journal:  Drug Saf       Date:  2011-11-01       Impact factor: 5.606

3.  Computerized physician order entry: promise, perils, and experience.

Authors:  Raman Khanna; Tony Yen
Journal:  Neurohospitalist       Date:  2014-01

4.  Identification of drug-related problems by a clinical pharmacist in addition to computerized alerts.

Authors:  Rianne J Zaal; Mark M P M Jansen; Marjolijn Duisenberg-van Essenberg; Cees C Tijssen; Jan A Roukema; Patricia M L A van den Bemt
Journal:  Int J Clin Pharm       Date:  2013-05-29

5.  A computerized adverse drug event alerting system using clinical rules: a retrospective and prospective comparison with conventional medication surveillance in the Netherlands.

Authors:  Mirjam K Rommers; Irene M Teepe-Twiss; Henk-Jan Guchelaar
Journal:  Drug Saf       Date:  2011-03-01       Impact factor: 5.606

6.  Early cost and safety benefits of an inpatient electronic health record.

Authors:  Jonathan A Zlabek; Jared W Wickus; Michelle A Mathiason
Journal:  J Am Med Inform Assoc       Date:  2011-02-02       Impact factor: 4.497

Review 7.  The role of computerized decision support in reducing errors in selecting medicines for prescription: narrative review.

Authors:  Melissa T Baysari; Johanna Westbrook; Jeffrey Braithwaite; Richard O Day
Journal:  Drug Saf       Date:  2011-04-01       Impact factor: 5.606

8.  Comparative evaluation of three clinical decision support systems: prospective screening for medication errors in 100 medical inpatients.

Authors:  Daniela Fritz; Alessandro Ceschi; Ivanka Curkovic; Martin Huber; Marco Egbring; Gerd A Kullak-Ublick; Stefan Russmann
Journal:  Eur J Clin Pharmacol       Date:  2012-02-29       Impact factor: 2.953

9.  Systems that prevent unwanted represcription of drugs withdrawn because of adverse drug events: a systematic review.

Authors:  Carolien M J van der Linden; Paul A F Jansen; René J E Grouls; Rob J van Marum; Marianne A J W Verberne; Lieke M A Aussems; Toine C G Egberts; Erik H M Korsten
Journal:  Ther Adv Drug Saf       Date:  2013-04

10.  Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry (CPOE) Order Sets: Impact on Hospitalized Children with Acute Asthma Exacerbation.

Authors:  B R Jacobs; K W Hart; D W Rucker
Journal:  Appl Clin Inform       Date:  2012-02-08       Impact factor: 2.342

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