OBJECTIVE To examine the effect of interruptions and task complexity on error rates when prescribing with computerized provider order entry (CPOE) systems, and to categorize the types of prescribing errors. DESIGN Two within-subject factors: task complexity (complex vs simple) and interruption (interruption vs no interruption). Thirty-two hospital doctors used a CPOE system in a computer labo...

To the Editor—The utilization of various antimicrobial stew-ardship program (ASP) strategies such as prior authorization, prescriber feedback and education, and antibiotic order forms have demonstrated favorable impacts on antibiotic utilization in academic settings. 1-4 To facilitate the implementation of ASPs, institutions have designed computer systems allowing physician/provider order entry...

The research questions, strategies, and results of a six-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of rese...

This simple article is an addendum to our previous study to handle underreporting issues in medical error reporting systems. If you are interested in the qualitative aspect of the reported errors, you may want to refer to it. If your interest resides more in the comparing of the numbers of error reports for various situations, while controlling for the under-reporting problem, this article offe...

Neuenschwander: Let me tell you how this roundtable discussion came about. I had a number of conversations with pharmacists at the June meeting about computerized prescriber order entry (CPOE). It occurred to me that, with Leapfrog pressing so hard for CPOE, hospitals are almost feeling guilty or embarrassed for not having CPOE or not being ready to have it. And yet when I would talk to pharmac...

While medications can improve patients' health, the process of prescribing them is complex and error prone, and medication errors cause many preventable injuries. Computer provider order entry (CPOE) with clinical decision support (CDS), can improve patient safety and lower medication-related costs. To realize the medication-related benefits of CDS within CPOE, one must overcome significant cha...

OBJECTIVE Medication errors are a major concern of health care professionals and medical institutions, especially errors involving children. Studies in adults have shown that computerized physician order entry (CPOE) systems reduce medication errors and adverse drug events (ADEs). The effect of CPOE implementation in a pediatric population has not been reported. The objective of this study was ...

The authors describe a pragmatic approach to the introduction of clinical decision support at the point of care, based on a decade of experience in developing and evolving Vanderbilt's inpatient "WizOrder" care provider order entry (CPOE) system. The inpatient care setting provides a unique opportunity to interject CPOE-based decision support features that restructure clinical workflows, delive...

Wrong-patient errors from inadvertent menu selections while using computerized provider order entry (CPOE) systems could have fatal consequences. This study investigated whether the manipulation of CPOE interface design could improve healthcare providers’ ability to recognize patient selection errors and also decrease the time to error recognition. Using a 2x2 design, 120 participants were rand...