Medication errors plummet with electronic prescribing

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Medication errors plummet with electronic prescribing The use of computerised provider order entry (CPOE) systems for electronic prescribing may substantially reduce the frequency of medication errors in acute inpatient settings, according to the findings of US researchers. The researchers conducted a study to provide a representative summary estimate of medication errors averted as a result of the use of CPOE. A rigorous systematic literature review was performed to derive a pooled estimate of the effect of CPOE on medication errors; this was combined with medication error data from the 2006 American Society of Health-System Pharmacists National Survey, the 2007 American Hospital Association (AHA) Annual Survey and the 2008 AHA Electronic Health Record Adoption Survey. Notably, the likelihood of a medication error decreased by 48% (95% CI 41, 55) when a prescription drug order was processed through a CPOE system. Furthermore, based on the size of this effect and the use of CPOE adoption in 2008, a 12.5% reduction in medication errors, equating to ≈17.4 million medication errors being averted in 12 months, was estimated. Nevertheless, the use of CPOE systems in hospitals remains modest and increased adoption of CPOE is needed to prevent millions of medication errors in the future, the researchers conclude. Radley DC, et al. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. Journal of the American Medical Informatics Association : [7 pages], 20 Feb 2013. Available from: URL: http:// 803084051 dx.doi.org/10.1136/amiajnl-2012-001241

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Reactions 9 Mar 2013 No. 1442