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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Computerized prescriber order entry and opportunities for medication errors: comparison to tradition paper-based

Kenneth G Jozefczyk¹, William Klugh Kennedy, Miranda Jackson Lin

¹Pharmacy Department, Memorial University Medical Center, Savannah, GA, USA.

Journal of Pharmacy Practice

|March 7, 2013

Summary

Computerized prescriber order entry (CPOE) significantly reduced medication errors in neonatal intensive care units. This system implementation led to a substantial decrease in opportunities for error during prescribing and order entry.

Keywords:

computerized order entry hospital medication safety pharmacy administration

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Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Health Informatics
Patient Safety
Clinical Pharmacy

Background:

Medication errors pose a significant risk in healthcare settings.
The prescribing and order entry phases are critical junctures for potential medication errors.

Purpose of the Study:

To evaluate the impact of Computerized Prescriber Order Entry (CPOE) on medication error opportunities.
To assess CPOE's effectiveness in reducing errors during prescribing and order entry.

Main Methods:

A comparative study in a neonatal intensive care unit (NICU).
Evaluation of 1000 medication orders (500 pre-CPOE, 500 post-CPOE) using 18 predefined error opportunity criteria.

Main Results:

A significant reduction in orders with zero opportunities for error (OE) was observed, increasing from 42% to 98% post-CPOE implementation (P < .0001).
The odds ratio favored CPOE, indicating a substantial decrease in OE.

Conclusions:

CPOE implementation is associated with a marked reduction in medication error opportunities.
CPOE enhances safety in the prescribing and order entry stages of the medication-use process.