Cited by 197Electronic Health Records SystemsPatient Safety and Medication ErrorsClinical Reasoning and Diagnostic Skills

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Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1

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Horsky, Jan, Kuperman, Gilad J., Patel, Vimla L.·2005·Journal of the American Medical Informatics Association

DOI 10.1197/jamia.m1740PMC PMC1174881

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Abstract

This case study of a serious medication error demonstrates the necessity of a comprehensive methodology for the analysis of failures in interaction between humans and information systems. The authors used a novel approach to analyze a dosing error related to computer-based ordering of potassium chloride (KCl). The method included a chronological reconstruction of events and their interdependencies from provider order entry usage logs, semistructured interviews with involved clinicians, and interface usability inspection of the ordering system. Information collected from all sources was compared and evaluated to understand how the error evolved and propagated through the system. In this case, the error was the product of faults in interaction among human and system agents that methods limited in scope to their distinct analytical domains would not identify. The authors characterized errors in several converging aspects of the drug ordering process: confusing on-screen laboratory results review, system usability difficulties, user training problems, and suboptimal clinical system safeguards that all contributed to a serious dosing error. The results of the authors' analysis were used to formulate specific recommendations for interface layout and functionality modifications, suggest new user alerts, propose changes to user training, and address error-prone steps of the KCl ordering process to reduce the risk of future medication dosing errors.

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Authors: Horsky, J., Kuperman, G. J., & Patel, V. L.
Affiliations: NewYork–Presbyterian Hospital (US)
Corresponding author: Horsky, Jan
ORCID: Horsky, Jan
Kuperman, Gilad J.
Venue: Journal of the American Medical Informatics Association
Publisher: Oxford University Press (OUP)
Published: 2005-07
Volume: 12
Issue: 4
Pages: 377-382
ISSN: 1067-5027 (ISSN-L)
1527-974X
DOI: 10.1197/jamia.m1740
PMC: PMC1174881
OpenAlex: W2167500163
Cited by: 197
References: 26
Citations by year: 2024: 3 · 2023: 7 · 2022: 4 · 2021: 5 · 2020: 5 · 2019: 6 · 2018: 4 · 2017: 12 · 2016: 10 · 2015: 13 · 2014: 13 · 2013: 22 · 2012: 13
FWCI: 24.46
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Journal of the American Medical Informatics Association (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
Health Sciences › Medicine › Family Practice › Clinical Reasoning and Diagnostic Skills
Keywords: dosing errors, computerized physician order entry, potassium chloride, human-computer interaction, usability inspection, user training, error propagation
MeSH terms: Aged, Hospital Information Systems, Humans, Medication Errors, Medication Systems, Hospital, Clinical Pharmacy Information Systems, Medical Records Systems, Computerized, Organizational Case Studies

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Comprehensive Analysis of a Medication Dosing Error Related to CPOE: Table 1

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