Impact of a commercial order entry system on prescribing errors amenable to computerised decision support in the hospital setting: a prospective pre-post study.

ABSTRACT:

Background

In this UK study, we investigated the impact of computerised physician order entry (CPOE) and clinical decision support (CDS) implementation on the rate of 78 high-risk prescribing errors amenable to CDS.

Methods

We conducted a preintervention/postintervention study in three acute hospitals in England. A predefined list of prescribing errors was incorporated into an audit tool. At each site, approximately 4000 prescriptions were reviewed both pre-CPOE and 6 months post-CPOE implementation. The number of opportunities for error and the number of errors that occurred were collated. Error rates were then calculated and compared between periods, as well as by the level of CDS.

Results

The prescriptions of 1244 patients were audited pre-CPOE and 1178 post-CPOE i

SUBMITTER: Pontefract SK 

PROVIDER: S-EPMC6109251 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature