Featured Research

from universities, journals, and other organizations

Computerized Prescriber Order Entry Systems May Have Limited Impact On Patient Harm

Date:
April 14, 2004
Source:
Northwestern Memorial Hospital
Summary:
Computerized prescriber order entry (CPOE) systems decrease medication error, but they may not decrease patient harm due to medication error, according to the results of a study conducted at Northwestern Memorial Hospital and published this week in Archives of Internal Medicine.

Computerized prescriber order entry (CPOE) systems decrease medication error, but they may not decrease patient harm due to medication error, according to the results of a study conducted at Northwestern Memorial Hospital and published this week in Archives of Internal Medicine.

"Medication errors are the single most common serious adverse event that occurs in hospitalized patients," said Gary Noskin, M.D., medical director of patient safety at Northwestern Memorial Hospital. "The implementation of CPOE has the potential to prevent the majority of these errors from reaching the patient; however, they may not actually decrease patient harm due to medication error."

"Because current CPOE systems have limited artificial intelligence, the involvement of the physicians and pharmacists remains critical to the medication process," adds Anne Bobb, RPh, a patient safety research pharmacist at Northwestern Memorial Hospital. "Pharmacists understand the complexity of medications and realize how many prescriptions are changed or altered on a daily basis before they reach the patient."

This study shows that a combination of pharmacist involvement and a CPOE system with significant clinical decision support will likely provide the best approach to improve medication safety among hospital patients. It is also important to develop other processes to complement CPOE, such as accurate medication histories on admission.

"Before implementing CPOE at Northwestern Memorial Hospital, we wanted to determine exactly where and why prescribing errors occur, because it is imperative to identify the root cause of the problems before you can fix them. We wanted to recognize the errors with the greatest potential for patient harm and then design our CPOE system and/or clinical decision support to target those areas first," said Dr. Noskin. "Sometimes it's necessary to look beyond even the most touted fixes to patient safety problems."

"Prescribing errors are common in the hospital, but are usually caught and corrected before reaching the patient," said Bobb. "The bottom line is that hospitals that have invested in CPOE and support clinical pharmacists have a greater likelihood of preventing medication errors."

Northwestern Memorial Hospital is currently implementing an electronic medical record and CPOE. The study of errors within its own hospital has helped a great deal in the design of the system. As well, the baseline data collected in this study could be used for comparison once the system is fully implemented.


Story Source:

The above story is based on materials provided by Northwestern Memorial Hospital. Note: Materials may be edited for content and length.


Cite This Page:

Northwestern Memorial Hospital. "Computerized Prescriber Order Entry Systems May Have Limited Impact On Patient Harm." ScienceDaily. ScienceDaily, 14 April 2004. <www.sciencedaily.com/releases/2004/04/040413002742.htm>.
Northwestern Memorial Hospital. (2004, April 14). Computerized Prescriber Order Entry Systems May Have Limited Impact On Patient Harm. ScienceDaily. Retrieved August 23, 2014 from www.sciencedaily.com/releases/2004/04/040413002742.htm
Northwestern Memorial Hospital. "Computerized Prescriber Order Entry Systems May Have Limited Impact On Patient Harm." ScienceDaily. www.sciencedaily.com/releases/2004/04/040413002742.htm (accessed August 23, 2014).

Share This




More Health & Medicine News

Saturday, August 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins