Computerized Provider Order Entry and Patient Safety
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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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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Self-citation
- 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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