Literature DB >> 25593568

Can utilizing a computerized provider order entry (CPOE) system prevent hospital medical errors and adverse drug events?

Krista Charles1, Margaret Cannon2, Robert Hall3, Alberto Coustasse4.   

Abstract

Computerized provider order entry (CPOE) systems allow physicians to prescribe patient services electronically. In hospitals, CPOE essentially eliminates the need for handwritten paper orders and achieves cost savings through increased efficiency. The purpose of this research study was to examine the benefits of and barriers to CPOE adoption in hospitals to determine the effects on medical errors and adverse drug events (ADEs) and examine cost and savings associated with the implementation of this newly mandated technology. This study followed a methodology using the basic principles of a systematic review and referenced 50 sources. CPOE systems in hospitals were found to be capable of reducing medical errors and ADEs, especially when CPOE systems are bundled with clinical decision support systems designed to alert physicians and other healthcare providers of pending lab or medical errors. However, CPOE systems face major barriers associated with adoption in a hospital system, mainly high implementation costs and physicians' resistance to change.

Entities:  

Keywords:  adverse drug events; computerized provider order entry; cost; hospitals; meaningful use; medical errors

Mesh:

Year:  2014        PMID: 25593568      PMCID: PMC4272436     

Source DB:  PubMed          Journal:  Perspect Health Inf Manag        ISSN: 1559-4122


  28 in total

1.  Using nursing clinical decision support systems to achieve meaningful use.

Authors:  Roberta L Harrison; Frank Lyerla
Journal:  Comput Inform Nurs       Date:  2012-07       Impact factor: 1.985

2.  A progress report on electronic health records in U.S. hospitals.

Authors:  Ashish K Jha; Catherine M DesRoches; Peter D Kralovec; Maulik S Joshi
Journal:  Health Aff (Millwood)       Date:  2010-08-26       Impact factor: 6.301

3.  The effect of physicians' long-term use of CPOE on their test management work practices.

Authors:  Joanne L Callen; Johanna I Westbrook; Jeffrey Braithwaite
Journal:  J Am Med Inform Assoc       Date:  2006-08-23       Impact factor: 4.497

Review 4.  Impact of radio-frequency identification (RFID) technologies on the hospital supply chain: a literature review.

Authors:  Alberto Coustasse; Shane Tomblin; Chelsea Slack
Journal:  Perspect Health Inf Manag       Date:  2013-10-01

5.  Assessing readiness for meeting meaningful use: identifying electronic health record functionality and measuring levels of adoption.

Authors:  Watson A Bowes
Journal:  AMIA Annu Symp Proc       Date:  2010-11-13

6.  The economics of health care quality and medical errors.

Authors:  Charles Andel; Stephen L Davidow; Mark Hollander; David A Moreno
Journal:  J Health Care Finance       Date:  2012

Review 7.  Expanding technology in the ICU: the case for the utilization of telemedicine.

Authors:  Stacie Deslich; Alberto Coustasse
Journal:  Telemed J E Health       Date:  2014-03-12       Impact factor: 3.536

8.  Prescriber and staff perceptions of an electronic prescribing system in primary care: a qualitative assessment.

Authors:  Emily Beth Devine; Emily C Williams; Diane P Martin; Dean F Sittig; Peter Tarczy-Hornoch; Thomas H Payne; Sean D Sullivan
Journal:  BMC Med Inform Decis Mak       Date:  2010-11-19       Impact factor: 2.796

9.  "Reducing unnecessary testing in a CPOE system through implementation of a targeted CDS intervention".

Authors:  Donald L Levick; Glenn Stern; Chad D Meyerhoefer; Aaron Levick; David Pucklavage
Journal:  BMC Med Inform Decis Mak       Date:  2013-04-08       Impact factor: 2.796

Review 10.  Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

Authors:  David C Radley; Melanie R Wasserman; Lauren Ew Olsho; Sarah J Shoemaker; Mark D Spranca; Bethany Bradshaw
Journal:  J Am Med Inform Assoc       Date:  2013-02-20       Impact factor: 4.497

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  14 in total

1.  The effect of information technology on hospital performance.

Authors:  Cynthia Williams; Yara Asi; Amanda Raffenaud; Matt Bagwell; Ibrahim Zeini
Journal:  Health Care Manag Sci       Date:  2015-05-28

2.  The Impact of Order Source Misattribution on Computerized Provider Order Entry (CPOE) Performance Metrics.

Authors:  George A Gellert; Linda Catzoela; Lajja Patel; Kylynn Bruner; Felix Friedman; Ricardo Ramirez; Lilliana Saucedo; S Luke Webster; John A Gillean
Journal:  Perspect Health Inf Manag       Date:  2017-04-01

3.  Medication prescribing errors: a pre- and post-computerized physician order entry retrospective study.

Authors:  Naïs Rouayroux; Violaine Calmels; Bérengére Bachelet; Brigitte Sallerin; Elodie Divol
Journal:  Int J Clin Pharm       Date:  2018-11-16

4.  Robotic Telepresence in a Medical Intensive Care Unit--Clinicians' Perceptions.

Authors:  Mirna Becevic; Martina A Clarke; Mohammed M Alnijoumi; Harjyot S Sohal; Suzanne A Boren; Min S Kim; Rachel Mutrux
Journal:  Perspect Health Inf Manag       Date:  2015-07-01

5.  Electronic Prescribing and Medication Management at a Residential Aged Care Facility: Uptake by General Practitioners and Qualitative Evaluation of the Benefits and Barriers.

Authors:  Rohan A Elliott; Cik Yin Lee; Safeera Y Hussainy
Journal:  Appl Clin Inform       Date:  2016-03-02       Impact factor: 2.342

6.  A Multi-Constraint Scheme with Authorized Mechanism for the Patient Safety.

Authors:  Jen-Ming Hsu; Yao-Chang Yu; Ting-Wei Hou; Wei-Guang Teng; Tzu-Chiang Chiang; Ming-Chang Yang
Journal:  J Med Syst       Date:  2016-04-02       Impact factor: 4.460

7.  Physicians' and Nurses' Opinions about the Impact of a Computerized Provider Order Entry System on Their Workflow.

Authors:  Haleh Ayatollahi; Masoud Roozbehi; Hamid Haghani
Journal:  Perspect Health Inf Manag       Date:  2015-11-01

Review 8.  Chemotherapy e-prescribing: opportunities and challenges.

Authors:  Khaled A Elsaid; Steven Garguilo; Christine M Collins
Journal:  Integr Pharm Res Pract       Date:  2015-05-21

9.  eHealth in the future of medications management: personalisation, monitoring and adherence.

Authors:  Josip Car; Woan Shin Tan; Zhilian Huang; Peter Sloot; Bryony Dean Franklin
Journal:  BMC Med       Date:  2017-04-05       Impact factor: 8.775

10.  The impact of computerized physician order entry on prescription orders: A quasi-experimental study in Iran.

Authors:  Mohammad Khammarnia; Roxana Sharifian; Farid Zand; Omid Barati; Ali Keshtkaran; Golnar Sabetian; Nasim Shahrokh; Fatemeh Setoodezadeh
Journal:  Med J Islam Repub Iran       Date:  2017-10-03
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