Computerized Physician Order Entry (CPOE) in Reducing Medication Error: A Narrative Review

Natalya Angela, Wiku Bakti Bawono Adisasmito

Abstract


ABSTRACT Medication error leads to death and injury every day, causing lower quality of life and spend almost 1% of total global health expenditure. One of the solution of to prescribing error is using technology such as Computer Physician Order Entry (CPOE). This study purpose is to assess the use of CPOE in reducing medication error. The research method is a review of the narrative literature using systematic research, with 14 included studies. CPOE systems in hospitals were found to be capable of reducing medication errors especially in prescribing and administrative stage. However, CPOE system can be associated with new types of medication error, therefore, CPOE system must considered human factor, tailored according to the need of the hospital, and continuous training to reduce medication error.

Keywords


Computer Physicians Order Entry; Medication Error; Hospital

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References


(1) Armada, E. R., Villamañán, E., López-de-sá, E., Rosillo, S., Rey-blas, J. R., Testillano, M. L., … López-sendón, J. (2014). Computerized physician order entry in the cardiac intensive care unit : Effects on prescription errors and work flow conditions ☆ , ☆☆. Journal of Critical Care, 29(2), 188–193. https://doi.org/10.1016/j.jcrc.2013.10.016

(2) Bates, D. W., Leape, L. L., & Cullen, D. (1998). Effect of Computerized Physician Order Entry and a Team Intervention on Prevention of Serious Medication Errors. JAMA, 280(15), 1311–1316. https://doi.org/10.1001/jama.280.15.1311

(3) Bates, D. W., Leape, L., & Petrycki, S. (1993). Incidence and preventability of adverse drug events in hospitalized adults. Journal of General Internal Medicine, 8(6), 289–294.

(4) Brown, C. L., Mulcaster, H. L., Triffitt, K. L., Sittig, D. F., Ash, J. S., Reygate, K., … Slight, S. P. (2017). A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Journal of the American Medical Informatics Association, 24(2), 432–440. https://doi.org/10.1093/jamia/ocw119

(5) Cho, I., Park, H., Choi, Y. J., Hwang, M. H., & David, W. (2014). Understanding the Nature of Medication Errors in an ICU with a Computerized Physician Order Entry System, 1–16. https://doi.org/10.1371/journal.pone.0114243

(6) Forrester, S. H., Hepp, Z., Roth, J. A., Wirtz, H. S., & Devine, E. B. (2014). Cost-effectiveness of a computerized provider order entry system in improving medication safety ambulatory care. Value in Health, 17(4), 340–349. https://doi.org/10.1016/j.jval.2014.01.009

(7) Glover, J. (2011). Errors in The Administration of Medication In Inpatient Hospitals: A Systematic Review of The Research Literature On Commercial Computerized Physician Order Entry Systems. The University of Texas.

(8) Graban, M. (2016). Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement (3rd ed.). Florida: CRC Press.

(9) Gurwitz, J. H., Field, T. S., Harrold, L. R., Rothschild, Jeffrey Debellis, K., Seger, A. C., Cadoret, C., & Fish, L. S. (2003). Incidence and Preventability of Adverse Drug Events Among Older Persons in the Ambulatory Setting. JAMA, 289(9), 1107–1116. Retrieved from https://jamanetwork.com/journals/jama/fullarticle/196099

(10) Hernandez, F., Majoul, E., Montes-palacios, C., Antignac, M., Hejblum, G., Fernandez, C., & Hindlet, P. (2015). An Observational Study of the Impact of a Computerized Physician Order Entry System on the Rate of Medication Errors in an Orthopaedic Surgery Unit, 1388, 1–13. https://doi.org/10.1371/journal.pone.0134101

(11) Kazemi, A., & Ellenius, J. (2011). The Effect of Computerized Physician Order Entry and Decision Support System on Medication Errors in the Neonatal Ward : Experiences from an Iranian Teaching Hospital, 25–37. https://doi.org/10.1007/s10916-009-9338-x

(12) Leung, A. A., Keohane, C., Amato, M., Simon, S. R., Coffey, M., Kaufman, N., … Bates, D. W. (2012). Impact of Vendor Computerized Physician Order Entry in Community Hospitals. https://doi.org/10.1007/s11606-012-1987-7

(13) Radley, D. C., Wasserman, M. R., Olsho, L. E. W., Shoemaker, S. J., Spranca, M. D., & Bradshaw, B. (2018). Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems, (March), 470–476. https://doi.org/10.11 36/amiajnl-2012-001241

(14) Reckmann, M. H., Westbrook, J. I., Koh, Y., Lo, C., & Day, R. O. (2009). Does Computerized Provider Order Entry Reduce Prescribing Errors for Hospital Inpatients? A Systematic Review. Journal of the American Medical Informatics Association, 16(5), 613–623. https://doi.org/10.1197/jamia.M3050

(15) Sard, B. E., Walsh, K. E., Doros, G., Hannon, M., Moschetti, W., & Bauchner, H. (2008). Retrospective Evaluation of a Computerized Physician Order Entry Adaptation to Prevent Prescribing Errors in a Pediatric Emergency Department. Pediatrics, 122(4), 782–787. https://doi.org/10.1542/peds.2007-3064

(16) van Rosse, F., Maat, B., Rademaker, C. M. A., van Vught, A. J., Egberts, A. C. G., & Bollen, C. W. (2009). The Effect of Computerized Physician Order Entry on Medication Prescription Errors and Clinical Outcome in Pediatric and Intensive Care: A Systematic Review. Pediatrics, 123(4), 1184–1190. https://doi.org/10.1542/peds.2008-1494

(17) Wolfstadt, J. I., Gurwitz, J. H., Field, T. S., Lee, M., Kalkar, S., Wu, W., & Rochon, P. A. (2007). The Effect of Computerized Physician Order Entry with Clinical Decision Support on the Rates of Adverse Drug Events : A Systematic Review, 451–459. https://doi.org/10.1007/s11606-008-0504-5

(18) World Health Organization. (2000). Medical errors. The Pharmaceutical Journal, 264(12), 239. Retrieved from http://apps.who.int/medicinedocs/en/d/Jwhozip02e/4.html

(19) World Health Organization. (2017). WHO launches global effort to halve medication-related errors in 5 years. Retrieved April 18, 2018, from http://www.who.int/med iacentre/news/releases/2017/medication-related-errors/en/




DOI: http://dx.doi.org/10.7454/arsi.v5i3.3030

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