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Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit

Authors
Shulman, R., Singer, M., Goldstone, J., Bellingan, G.
Journal
Crit Care
Publication Date
2005 Oct 5
Volume
9
Issue
5
Pages
R516-21
  • HIT Description: computerized provider order entry system More info...
  • Purpose of Study: To compare the impact of computerized provider order entry without decision support to with hand-written prescribing on the frequency, type and outcome of medication errors.
  • Years of study: 2001-2002
  • Study Design: Time series
  • Outcomes: Impact on patient safety and impact on health care effectiveness and quality
Summary:
  • Settings: 22-bed general ICU in a London teaching hospital
  • Intervention: Introduction of CPOE without decision support
  • Evaluation Method: ICU pharmacist-identified medical errors prior to and subse
  • Description: QS 5.6 Clinical Information System (GE Healthcare)
  • Strategy: program of staff training with CPOE implemented over one day
  • System Penetration: mandatory utilization
  • Quality of Care and Patient Safety Outcome: Proportion of medical errors decreased with introduction of CPOE and declined further over time.
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