BACKGROUND Computerised physician order entry offers a potential means of reducing prescribing errors, and can also increase the feasibility of pharmacy validation as a secondary filter for eliminating errors. The impacts of these two benefits have never been evaluated in combination. OBJECTIVE To describe (i) the pharmacists' interventions during validation of drug prescriptions on a compute...

BACKGROUND Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of computerized physician order entry (CPOE) and intensive care unit physician st...

OBJECTIVE To determine the impact of the introduction of new pre-written orders for antimicrobials in a computerized provider order entry (CPOE) system on 1) accuracy of documented indications for antimicrobials in the CPOE system, 2) appropriateness of antimicrobial prescribing, and 3) compliance with the hospital's antimicrobial policy. Prescriber opinions of the new decision support were als...

OBJECTIVE To implement and evaluate the impact of computerized provider order entry (CPOE) on reducing ordering errors in pediatric chemotherapy. DESIGN Before-and-after study from 2001 to 2004. SETTING Pediatric Oncology in an academic medical center. INTERVENTION Implementation of a CPOE system guided by multidisciplinary failure modes and effects analysis into pediatric chemotherapy. ...

Computerized provider order entry (CPOE) and clinical decision support (CDS) are advocated health care information technologies for improving patient safety through reduction and prevention of medication errors. CPOE and DCS target specific errors in medication processes, particularly in prescribing and ordering. These are of particular importance in pediatrics, because children may be more vul...

OBJECTIVE To assess the internal consistency and agreement between the Health Care Information and Management Systems Society (HIMSS) and the Leapfrog computerized provider order entry (CPOE) data. DATA SOURCES Secondary hospital data collected by HIMSS Analytics, the Leapfrog Group, and the American Hospital Association from 2005 to 2007. STUDY DESIGN Dichotomous measures of full CPOE stat...

A systematic review of the literature was performed to examine the impact of electronic health records (EHRs) on documentation time of physicians and nurses and to identify factors that may explain efficiency differences across studies. In total, 23 papers met our inclusion criteria; five were randomized controlled trials, six were posttest control studies, and 12 were one-group pretest-posttes...

We use Hyperion search PIMs in hospitalized patients from 2010 to 2011, investigate the relationship between PIM and the physician prescriptions, patients’ characteristics, such as age, gender, diagnosis, et al. We’ll construct a CPOE decision supporting and monitoring system to help physician prescribe appropriately, on the other hand to monitored the suitability of the medications by clinical...

BACKGROUND Effective communication is essential to safe and efficient patient care. Additionally, many health information technology (HIT) developments, innovations, and standards aim to implement processes to improve data quality and integrity of electronic health records (EHR) for the purpose of clinical information exchange and communication. OBJECTIVE We aimed to understand the current pa...