tailieunhanh - Báo cáo khoa học: "What do we know about medication errors made via a CPOE system versus those made via handwritten orders"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: What do we know about medication errors made via a CPOE system versus those made via handwritten orders? | Available online http content 9 5 427 Commentary What do we know about medication errors made via a CPOE system versus those made via handwritten orders Ross Koppel Center for Clinical Epidemiology and Biostatistics School of Medicine and Sociology Department University of Pennsylvania Philadelphia PA USA Corresponding author Ross Koppel rkoppel@ Published online 22 August 2005 This article is online at http content 9 5 427 2005 BioMed Central Ltd Critical Care 2005 9 427-428 DOI cc3804 See related research by Shulman et al. in this issue http content 9 5 R516 Abstract This commentary on the article by Shulman et al. examines what we understand by medication errors what we mean by computerized physician order entry CPOE systems how we measure errors and what types of errors we are reducing with CPOE systems. As the research of Shulman and colleagues highlights much of the existing research on CPOE systems does not differentiate among types of medication errors consequential versus inconsequential medication errors CPOE systems that include exclude formal decision support packages and the extent to which decision support information is implicitly presented to physicians via the CPOE system for example pull down menus with dosages. I discuss these issues and their implications for the evaluation of CPOE systems and of other emerging healthcare technologies. Shulman and colleagues 1 have contributed a thoughtful study on medication orders at an intensive care unit that shifted from handwritten orders to a computerized physician order entry CPOE system. They examine whether errors were intercepted or not and the frequency severity and types of those errors. They explore the role of the CPOE system in preventing and perhaps facilitating errors. Their findings are complex. When they combined intercepted and non-intercepted medication errors potential and actual errors the CPOE system was associated with fewer .

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