Volume 5, Issue 2 (6-2021)                   EBHPME 2021, 5(2): 142-150 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alizadeh G, Jafarzadeh A, Khosravi M F. Scoping Review of Computerized Physician Order Entry Systems in Reducing Medical Errors. EBHPME 2021; 5 (2) :142-150
URL: http://jebhpme.ssu.ac.ir/article-1-309-en.html
Department of Management Science and Health Economic, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran , khosravi.mohammad1@yahoo.com
Abstract:   (1651 Views)
Background: Medical errors have dramatic clinical and economic consequences. Using various information technology can reduce medical errors and improve services’ quality via preventing medical errors. In this study, the role of a computerized medical order entry system was investigated in reducing medical errors.
Methods: This study was conducted as a scoping review. The research question was formulated; then, the inclusion and exclusion criteria, keywords (such as medical errors, adverse event, physician order entry system and control) and search strategy were determined. International databases(Scopus, ProQuest, and PubMed) and manual searches were used. The studies that had the inclusion criteria were entered into the study and were evaluated qualitatively, then information of studies was extracted and summarized.
Results: In total, 16 studies were included. Most studies were about medication errors and adverse medication events. So, it is possible to claim more confidently about reducing medication errors to adverse medication events, since in studies, the impact of this system on medication errors had been further discussed. Some studies have pointed to an increase in error reports due to better checking and error entry with this system, and in general, the positive impact of this action has been mentioned in minimizing errors, especially medication errors and adverse medication events. Positive and significant effects have also been reported on prescribing errors, especially medication prescriptions.
Conclusion: Computerization of medical orders through its positive effects, can be considered a useful and appropriate intervention in increasing patient safety if implemented completely and correctly.
Full-Text [PDF 2500 kb]   (689 Downloads) |   |   Full-Text (HTML)  (344 Views)  
Type of Study: Review Article | Subject: Healt care Management
Received: 2020/08/25 | Accepted: 2021/06/29 | Published: 2021/06/29

1. 1. Miller RA, Gardner RM, Johnson KB, Hripcsak G. Clinical decision support and electronic prescribing systems: a time for responsible thought and action. Journal of the American Medical Informatics Association. 2005; 12(4): 403-9. [DOI:10.1197/jamia.M1830]
2. Teich JM, Osheroff JA, Pifer EA, Sittig DF, Jenders RA. Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup. Journal of the American Medical Informatics Association. 2005; 12(4): 365-76. [DOI:10.1197/jamia.M1822]
3. Kawamoto K, Houlihan CA, Balas EA, Lobach DF. Improving clinical practice using clinical decision support systems: a systematic review of trials to identify features critical to success. Bmj. 2005; 330(7494): 765. doi: 10.1136/bmj.38398.500764.8F. [DOI:10.1136/bmj.38398.500764.8F]
4. Kaushal R, Barker ON, Bates DW. How can information technology improve patient safety and reduce medication errors in children's health care?. Archives of Pediatrics & Adolescent Medicine. 2001; 155(9): 1002-7. [DOI:10.1001/archpedi.155.9.1002]
5. Wideman MV, Whittler ME, Anderson TM. Advances in Patient Safety Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation. Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Rockville (MD): Agency for Healthcare Research and Quality (US). 2005; p. 125-128.
6. Cohen M. Medication Errors. American Journal of Pharmaceutical Education. 2007; 79(3): 59.
7. Mantas J. Electronic health record. Studies in Health Technology and Informatics. 2002; 65: 250-7.
8. McCartney PR. Using technology to promote perinatal patient safety. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2006; 35(3): 424-31. [DOI:10.1111/j.1552-6909.2006.00059.x]
9. Ajri-Khameslou M, Abbaszadeh A, Borhani F, Farokhnezhad Afshar P. Contributing factors to nursing error in emergency department: A qualitative study. Hayat. 2017; 23(1): 17-32. [In Persian]
10. Kabirzadeh A, Bozorgi F, Motamed N, Mohseni Saravi B, Baradari A, Dehbandi M. Survey on Attitude of Chief Managers of Hospitals Towards Voluntary Incident Reporting System, Mazandaran University of Medical Sciences, 2010-2011. Journal of Mazandaran University of Medical Sciences. 2011; 21(84): 131-7. [In Persian]
11. Darabi F, Amolaee K, Assarezadegan M, Seifi F, Razlansari H, Darestani K, et al. Frequency of Nursing and Midwifery errors in referred cases to the Iranian Medical Council and Imam Reza Training Hospital in Kermanshah. Journal of Kermanshah University of Medical Sciences. 2009; 13(3): 261-6. [In Persian]
12. Khammarnia M, Ravangard R, Ghanbari jahromi M, Moradi A. Survey of Medical Errors in Shiraz Public Hospitals: 2013. Journal of Hospital. 2014; 13(3): 17-24. [DOI:10.17795/jhealthscope-15096]
13. Alijanzadeh M, Mohebifar R, Azadmanesh Y, Faraji M. The Frequency of Medication Errors and Factors Influencing the Lack of Reporting Medication Errors in Nursing at Teaching Hospital of Qazvin University of Medical Sciences 2012. Journal of Health. 2015; 6(2): 169-79.
14. Siabani S, Alipour AA, Siabani H, Rezaei M, Daniali S. A survey of complaints against physicians reviewed at Kermanshah. Journal of Kermanshah University of Medical Sciences. 2009; 13(1): 15-26.
15. Taheri MR, Khorvash F, Hasan Zadeh A, mahdavi rad M. Assessment of mental workload and relationship with needle stick injuries among Isfahan Alzahra hospital nurses. Medical Journal of Mashhad University of Medical Sciences. 2016; 58(10): 570-7. doi:10.22038/mjms.2016.6765. [In Persian]
16. Shulman R, Singer M, Goldstone J, Bellingan G. Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Critical Care. 2005; 9(5): 516. [DOI:10.1186/cc3793]
17. Bagherian Mahmoodabadi H, Setareh M, Nejadnick M, Niknamian M, Aubian A. The Frequency and Reasons of Medical Errors in Cases Referred to Isfahan Legal Medicine Center. Health Information Management. 2012; 9(1): 22-34.
18. Tofighi H, Shirzad J, Ghadi Pasha M. Survey on medical errors reduced to death referred the commission of national legal medicine center from 1995 to 1999. Journal of Forensic Medicine. 2002; 8(27): 5-8.
19. Donaldson MS, Corrigan JM, Kohn LT. To err is human: building a safer health system. Washington: National Academies Press; 2000. p. 129-31.
20. Hernandez F, Majoul E, Montes-Palacios C, Antignac M, Cherrier B, Doursounian L, et al. An observational study of the impact of a computerized physician order entry system on the rate of medication errors in an orthopaedic surgery unit. PloS one. 2015; 10(7). [DOI:10.1371/journal.pone.0134101]
21. Khammarnia M, Sharifian R, Zand F, Barati O, Keshtkaran A, Sabetian G, et al. The impact of computerized physician order entry on prescription orders: A quasi-experimental study in Iran. Medical Journal of the Islamic Republic of Iran. 2017; 31(1): 1-5. [DOI:10.14196/mjiri.31.69]
22. Pontefract SK, Hodson J, Slee A, Shah S, Girling AJ, Williams R, et al. Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study. BMJ Qual Saf. 2018; 27: 725-36. [DOI:10.1136/bmjqs-2017-007135]
23. Adr SS, Ghadyani MH, Zadeh B, AsgharA. Assessment of records of complaints from medical malpractice in the field of orthopedic, in the coroner's Office of Forensic Medicine, province of Tehran, during 1988 to 2003. Journal of Forensic Medicine. 2007; 13(2): 78-86.
24. Abualhasani N. Legal challenges of medical tourism. Bioethics Journal. 2014; 4(12): 81-100.
25. Darwazeh D. Medical Tourism: Establishing a Sustainable Medical Facility: University of Waterloo; 2011.
26. Dabagh A, Akbatri E, Fathi M. Medical errors in the health system. Annals of Military and Health Sciences Research. 2006; 8(2): 43-51.
27. Doshmangir L, Torabi f, Ravaghi H, Akbari Sari A, Mostafavi H. Challenges and Solutions Facing Medical Errors and Adverse events in Iran: A Qualitative Study. Journal of Hospital. 2016; 15(1): 31-40.
28. Ammenwerth E, Schnell-Inderst P, Machan C, Siebert U. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Journal of the American Medical Informatics Association. 2008; 15(5): 585-600. [DOI:10.1197/jamia.M2667]
29. Agha L. The effects of health information technology on the costs and quality of medical care. Journal of Health Economics. 2014; 34: 19-30. [DOI:10.1016/j.jhealeco.2013.12.005]
30. Baron JM, Dighe AS. Computerized provider order entry in the clinical laboratory. Journal of Pathology Informatics. 2011; 2(3): 35-41. [DOI:10.4103/2153-3539.83740]
31. Peikari HR, Zakaria MS, Yasin NM, Shah MH, Elhissi A. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthcare Informatics Research. 2013; 19(2): 93-101. [DOI:10.4258/hir.2013.19.2.93]
32. Newell L, Christensen D. Who's counting now? ROI for patient safety IT initiatives. Journal of Healthcare Information Management. 2003; 17(4): 29-35.
33. Korb-Savoldelli V, Boussadi A, Durieux P, Sabatier B. Prevalence of computerized physician order entry systems-related medication prescription errors: A systematic review. International Journal of Medical Informatics. 2018; 111: 112-22. doi: 10.1016/j.ijmedinf.2017. 12.022. [DOI:10.1016/j.ijmedinf.2017.12.022]
34. Prgomet M, Li L, Niazkhani Z, Georgiou A, Westbrook JI. Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. Journal of the American Medical Informatics Association. 2016; 24(2): 413-22. [DOI:10.1093/jamia/ocw145]
35. Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, et al. Role of computerized physician order entry systems in facilitating medication errors. Jama. 2005; 293(10): 1197-203. [DOI:10.1001/jama.293.10.1197]
36. Stone WM, Smith BE, Shaft JD, Nelson RD, Money SR. Impact of a computerized physician order-entry system. Journal of the American College of Surgeons. 2009; 208(5): 960-7. [DOI:10.1016/j.jamcollsurg.2009.01.042]
37. Menendez M, Alonso J, Rancaño I, Corte J, Herranz V, Vazquez F. Impact of computerized physician order entry on medication errors. Revista De Calidad Asistencial. 2012; 27(6): 334-40. [DOI:10.1016/j.cali.2012.01.010]
38. Small MD, Barrett A, Price GM. The impact of computerized prescribing on error rate in a department of oncology/hematology. Journal of Oncology Pharmacy Practice. 2008; 14(4): 181-7. [DOI:10.1177/1078155208094453]
39. Armada ER, Villamañán E, López-de-Sá E, Rosillo S, Rey-Blas JR, Testillano ML, et al. Computerized physician order entry in the cardiac intensive care unit: effects on prescription errors and workflow conditions. Journal of Critical Care. 2014; 29(2): 188-93. [DOI:10.1016/j.jcrc.2013.10.016]
40. Fernández MJH, Bautista MJM, Arellano EA, Palacios MVG. Impact of computerised chemotherapy prescriptions on the prevention of medication errors. Clinical and Translational Oncology. 2006; 8(11): 821-5. [DOI:10.1007/s12094-006-0138-1]
41. Elsaid K, Truong T, Monckeberg M, McCarthy H, Butera J, Collins C. Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis. International Journal for Quality in Health Care. 2013; 25(6): 656-63. [DOI:10.1093/intqhc/mzt067]
42. Shawahna R, Rahman NU, Ahmad M, Debray M, Yliperttula M, Decleves X. Electronic prescribing reduces prescribing error in public hospitals. Journal of Clinical Nursing. 2011; 20(21‐22): 3233-45. [DOI:10.1111/j.1365-2702.2011.03714.x]
43. Dickens DS, Sinsabaugh D. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics. 2008; 122(3): 678-9. doi: 10.1542/peds.2008-0084. [DOI:10.1542/peds.2008-0084]
44. Leung AA, Schiff G, Keohane C, Amato M, Simon SR, Cadet B, et al. Impact of vendor computerized physician order entry on patients with renal impairment in community hospitals. Journal of Hospital Medicine. 2013; 8(10): 545-52. [DOI:10.1002/jhm.2072]

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Evidence Based Health Policy, Management and Economics

Designed & Developed by : Yektaweb