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Related Experiment Video

Updated: Jun 2, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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[To know, understand and combating medication errors related to computerized physician order entry].

V Vialle1, T Tiphine, Y Poirier

  • 1Service de pharmacie, centre hospitalier départemental de La-Roche-sur-Yon, France. v.vialle@ch-calais.fr

Annales Pharmaceutiques Francaises
|May 17, 2011
PubMed
Summary

Computerized physician order entry (CPOE) systems can cause medication errors, primarily during prescription. Addressing human factors, communication, and software design is crucial for minimizing these errors.

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Area of Science:

  • Health Informatics
  • Clinical Pharmacy
  • Patient Safety

Context:

  • Medication errors are a significant concern in healthcare.
  • Computerized Physician Order Entry (CPOE) systems are increasingly adopted in hospitals.
  • Understanding CPOE-induced errors is vital for improving patient safety.

Purpose:

  • To identify and categorize medication errors associated with CPOE implementation.
  • To analyze the root causes of these medication errors.
  • To provide recommendations for mitigating CPOE-related medication errors.

Summary:

  • A 1-year study (2008-2009) analyzed medication errors in a hospital following CPOE implementation.
  • Thirty-five error categories were identified, with dosage, concentration, omission, and drug errors being most frequent.
  • Root causes included human factors (training, settings), communication (ergonomics), and software design (intuitiveness).

Impact:

  • Highlights the existence of medication errors induced by CPOE systems.
  • Emphasizes the need for comprehensive user training and scalable system setup.
  • Underscores the importance of using mature and certified software to enhance patient safety.