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Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative review
- Source :
- Research in Social and Administrative Pharmacy. 17:1546-1552
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Background Evaluations of computerized provider order entry (CPOE) systems have revealed that reductions in certain types of medication errors occur simultaneously with the emergence of system-related errors – errors that are unlikely or not possible to occur with the use of paper-based medication charts. System-related errors appear to persist many years post-implementation of CPOE, although little is known about whether the types and rates of system-related errors that occur immediately following CPOE implementation are similar to those that endure or emerge after years of system use. Objective To analyze and synthesize the literature on system-related errors, specifically in relation to the length of time that CPOE systems have been in use, to determine what is currently known about how system-related errors change over time. Methods A literature search was undertaken using the PubMed database to identify English language articles published between January 2005 and March 2020 that provided original data on system-related errors resulting from CPOE system use. Studies were included if they provided results on system-related errors and information relating to the length of time that CPOE had been in use. Results Thirty-one studies met the inclusion criteria for this narrative review. System-related errors were identified and described during short, medium and long-term use of CPOE systems, but no single study examined how errors changed over time. In comparing findings across studies, results suggest that system-related errors persist with long-term use of CPOE systems, although likely to occur at a reduced rate. Conclusions This review has highlighted a significant gap in knowledge on how system-related errors change over time. Determining what and when system-related errors occur and the system factors that contribute to their occurrence at different time points after CPOE implementation is necessary for the future prevention and mitigation of these errors.
- Subjects :
- Change over time
Databases, Factual
Relation (database)
Computer science
030503 health policy & services
Pharmaceutical Science
Pharmacy
English language
Hospitals
Medical Order Entry Systems
Original data
Medication error
Order entry
03 medical and health sciences
0302 clinical medicine
System use
Humans
Medication Errors
Operations management
Narrative review
030212 general & internal medicine
0305 other medical science
Subjects
Details
- ISSN :
- 15517411
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- Research in Social and Administrative Pharmacy
- Accession number :
- edsair.doi.dedup.....c2f327d418d02ec8839d95c79969485a