Cited by 45Electronic Health Records SystemsPatient Safety and Medication ErrorsMedical Coding and Health Information

Computerized Provider Order Entry and Patient Safety

Lehmann, Christoph U., Kim, George R.·2006·Pediatric Clinics of North America

Abstract

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 vulnerable to prescribing errors than adults. Studies of CPOE/CDS performed at academic medical centers have demonstrated their effectiveness in reducing medication process errors in pediatrics, but scant data so far show effects on health outcomes. CPOE/CDS adoption requires significant expertise in health care processes, information technology, and change management. Adoption is a high-cost, high-risk venture with political implications.

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Crossref · 10.1016/j.pcl.2006.09.006

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  • EHRs are complex technological innovations that affect workflows, communication, job roles, working conditions, and job security.

    “Because EHRs are particularly complex technology innovations-affecting workflows, communications, job definitions, working conditions, and job security-demonstrat-ing and improving their safety is critically important.[5][6][7][8][9][10]”

    From EHR Safety: The Way Forward to Safe and Effective Systems (2008) · cites this paper as [8]

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Authors
Lehmann, C. U., & Kim, G. R.
Affiliations
Johns Hopkins University (US)
Corresponding author
Lehmann, Christoph U.
Venue
Pediatric Clinics of North America
Publisher
Elsevier BV
Published
2006-12
Volume
53
Issue
6
Pages
1169-1184
ISSN
0031-3955 (ISSN-L)
OpenAlex
W2082844543
Cited by
45
References
91
Citations by year
2025: 1 · 2021: 2 · 2020: 1 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 4
FWCI
0.93
Type
journal article
Language
en
Open access
closed
Locations
  • Pediatric Clinics of North America (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
  • Health Sciences › Health Professions › Emergency Medical Services › Patient Safety and Medication Errors
  • Health Sciences › Health Professions › Health Information Management › Medical Coding and Health Information
Keywords
computerized physician order entry, clinical decision support, patient safety, medication errors, prescribing errors, pediatric prescribing, change management, academic medical centers
MeSH terms
Child, Diffusion of Innovation, Humans, Medical Errors, Medical Order Entry Systems

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