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Related Concept Videos

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Guidelines and Strategies for Safe Computer Charting

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Related Experiment Video

Updated: Jun 8, 2026

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System
08:25

Radiation Planning Assistant - A Streamlined, Fully Automated Radiotherapy Treatment Planning System

Published on: April 11, 2018

Experience with computerized chemotherapy order entry.

Brent Dubeshter1, Carolyn J Walsh, Kim Altobelli

  • 1Division of Gynecologic Oncology, James P. Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY.

Journal of Oncology Practice
|September 28, 2010
PubMed
Summary

Computerized order entry systems significantly reduce chemotherapy administration errors, including dosing mistakes. This technology also improves efficiency, saving valuable time in order preparation.

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Area of Science:

  • Oncology
  • Pharmacology
  • Health Informatics

Background:

  • Chemotherapy administration errors are a persistent challenge in patient care.
  • Computerized order entry (COE) systems have demonstrated potential in mitigating medication errors.

Purpose of the Study:

  • To evaluate a specific chemotherapy computer order entry system for dosing errors.
  • To assess the impact of the COE system on the time required for chemotherapy order preparation.

Main Methods:

  • A prospective study analyzed 2,558 chemotherapy administrations across 235 patients over 12 months.
  • Chemotherapy order sets generated via COE were reviewed for drug selection, dose calculation, and decimal point errors.
  • The system's dose warning level and override function were also examined, alongside a time comparison of manual vs. computerized order set creation.

Main Results:

  • No errors in dose calculations, decimal points, or drug selection were identified.
  • The system's dose warning level was overridden with user permission in 6% of administrations.
  • Computerized order entry resulted in an average time saving of 10 minutes per order set.

Conclusions:

  • Computerized order entry systems, equipped with error-checking algorithms, can effectively eliminate common chemotherapy administration errors.
  • The implementation of such systems does not compromise, and may even enhance, operational efficiency.