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Computerized provider order entry and patient safety
Erika L Abramson1, Rainu Kaushal
1Department of Pediatrics, Weill Cornell Medical College, New York, NY 10065, USA. err9009@med.cornell.edu
Insights
Computerized provider order entry (CPOE) can reduce medication errors in children. This strategy enhances prescribing practices and patient safety, mitigating harm from prescribing mistakes.
Area of Science:
- Pediatric pharmacology
- Health informatics
- Patient safety
Background:
- Medication errors pose significant risks, especially for pediatric patients.
- Computerized Provider Order Entry (CPOE) is a strategy to mitigate these risks.
Purpose of the Study:
- To examine prescribing errors in pediatric patients.
- To discuss the benefits of CPOE in pediatric care.
- To review the literature on CPOE's real-world impact.
Main Methods:
- Literature review on prescribing errors in pediatrics.
- Analysis of proposed benefits of CPOE systems.
- Exploration of studies evaluating CPOE implementation.
Main Results:
- CPOE can eliminate eligibility errors and ensure prescribing completeness.
- It reduces transcription errors and enhances prescribing through clinical decision support.
- Evidence on CPOE's effect in practice is explored.
Conclusions:
- CPOE offers significant potential to reduce pediatric medication errors.
- Further research and policy considerations are needed for optimal CPOE implementation.
- Improving prescribing practices is crucial for pediatric patient safety.
Abstract:
Medication errors can lead to significant morbidity and mortality for patients. Children are particularly vulnerable to medication errors. A strategy for reducing medication errors and the harm resulting from these errors is use of computerized provider order entry (CPOE). This article examines the frequency and nature of prescribing errors for pediatric patients. Also discussed are the proposed benefits from CPOE use, including elimination of eligibility errors, ensuring completeness in prescribing fields, reduction in transcription errors, and improved prescribing practices through the use of clinical decision support. The literature on the effect of CPOE in actual use is explored, as are policy implications and directions for future research.
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