Impact of computerized provider order entry on hospital medication errors

Daniel L. Roberts, Brie N. Noble, Mary J. Wright, Eric A. Nelson, Judd D. Shaft, Jorge Rakela

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective: To assess the impact of a phased implementation of computerized provider order entry (CPOE) on the incidence of medication errors and preventable adverse drug events (ADEs). · Design: Retrospective observational analysis. · Setting: Mayo Clinic Hospital (Phoenix, AZ), a 232- bed teaching hospital. · Participants: All patients admitted to Mayo Clinic Hospital from 6 November 2006 to 7 May 2008. · Measurements: Medication errors and preventable ADEs per 1000 patient-days. · Results: Relative to the period prior to CPOE implementation, the frequency of medication errors per 1000 patient-days was unchanged during implementation (13.7 vs. 14.1, P = 0.66) and significantly reduced after implementation was completed (10.4 vs. 14.1, P < 0.001). CPOE implementation was associated with a reduced rate of insulin orders containing errors (0.05 vs. 0.20, P = 0.007) but not heparin (0.62 vs. 0.52, P = 0.56). There was a significant decrease in preventable ADEs after implementation (6 vs. 0, P = 0.01). · Conclusion: CPOE systems can improve medication safety. Implementing CPOE in a step-wise fashion, rather than all at once, does not appear to have been associated with an increase in medication errors.

Original languageEnglish (US)
Pages (from-to)109-115
Number of pages7
JournalJournal of Clinical Outcomes Management
Volume20
Issue number3
StatePublished - Mar 2013

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Medical Order Entry Systems
Medication Errors
Drug-Related Side Effects and Adverse Reactions
Teaching Hospitals
Heparin
Insulin
Safety
Incidence

ASJC Scopus subject areas

  • Medicine(all)
  • Health Policy

Cite this

Roberts, D. L., Noble, B. N., Wright, M. J., Nelson, E. A., Shaft, J. D., & Rakela, J. (2013). Impact of computerized provider order entry on hospital medication errors. Journal of Clinical Outcomes Management, 20(3), 109-115.

Impact of computerized provider order entry on hospital medication errors. / Roberts, Daniel L.; Noble, Brie N.; Wright, Mary J.; Nelson, Eric A.; Shaft, Judd D.; Rakela, Jorge.

In: Journal of Clinical Outcomes Management, Vol. 20, No. 3, 03.2013, p. 109-115.

Research output: Contribution to journalArticle

Roberts, DL, Noble, BN, Wright, MJ, Nelson, EA, Shaft, JD & Rakela, J 2013, 'Impact of computerized provider order entry on hospital medication errors', Journal of Clinical Outcomes Management, vol. 20, no. 3, pp. 109-115.
Roberts, Daniel L. ; Noble, Brie N. ; Wright, Mary J. ; Nelson, Eric A. ; Shaft, Judd D. ; Rakela, Jorge. / Impact of computerized provider order entry on hospital medication errors. In: Journal of Clinical Outcomes Management. 2013 ; Vol. 20, No. 3. pp. 109-115.
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