Evidence map›Paper›PMID 19567798›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA

Does computerized provider order entry reduce prescribing errors for hospital inpatients? A systematic review.

Margaret H Reckmann, Johanna I Westbrook, Yvonne Koh, Connie Lo, Richard O Day

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of the American Medical Informatics Association : JAMIA. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 15 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 15 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 15 syntheses or guidelines pooled it.

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  4. A systematic review of the impact of health information technology on nurses' time.Journal of the American Medical Informatics Association : JAMIA · 2020
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  16. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.Journal of the American Medical Informatics Association : JAMIA
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28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Margaret H ReckmannHealth Informatics Research and Evaluation Unit, Faculty of Health Sciences, University of Sydney, PO Box 170, Lidcombe 1825, Sydney, Australia.
Johanna I Westbrook
Yvonne Koh
Connie Lo
Richard O Day

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous reviews have examined evidence of the impact of CPOE on medication errors, but have used highly variable definitions of "error". We attempted to answer a very focused question, namely, what evidence exists that CPOE systems reduce prescribing errors among hospital inpatients? We identified 13 papers (reporting 12 studies) published between 1998 and 2007. Nine demonstrated a significant reduction in prescribing error rates for all or some drug types. Few studies examined changes in error severity, but minor errors were most often reported as decreasing. Several studies reported increases in the rate of duplicate orders and failures to discontinue drugs, often attributed to inappropriate selection from a dropdown menu or to an inability to view all active medication orders concurrently. The evidence-base reporting the effectiveness of CPOE to reduce prescribing errors is not compelling and is limited by modest study sample sizes and designs. Future studies should include larger samples including multiple sites, controlled study designs, and standardized error and severity reporting. The role of decision support in minimizing severe prescribing error rates also requires investigation.

Indexed as

Electronic PrescribingMedical Order Entry SystemsMedication Systems, HospitalAdultChildHumansInpatientsMedication Errors

Identifiers

PMID19567798
PMCPMC2744711

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.