ArticleJournal of medical systems2011
The effect of Computerized Physician Order Entry and decision support system on medication errors in the neonatal ward: experiences from an Iranian teaching hospital.
Article in Journal of medical systems, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 10 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 10 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Use of Computerized Physician Order Entry with Clinical Decision Support to Prevent Dose Errors in Pediatric Medication Orders: A Systematic Review.Paediatric drugs · 2024Pooled it
- Identifying the data elements and functionalities of clinical decision support systems to administer medication for neonates and pediatrics: a systematic literature review.BMC medical informatics and decision making · 2023Pooled it
- The impact of health information technology on prescribing errors in hospitals: a systematic review and behaviour change technique analysis.Systematic reviews · 2020Pooled it
- The Effect of Laboratory Test-Based Clinical Decision Support Tools on Medication Errors and Adverse Drug Events: A Laboratory Medicine Best Practices Systematic Review.The journal of applied laboratory medicine · 2019Pooled it
- Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2018Pooled it
- Summary and frequency of barriers to adoption of CPOE in the U.S.Journal of medical systems · 2015Pooled it
- Systematic review of clinical decision support interventions with potential for inpatient cost reduction.BMC medical informatics and decision making · 2013Pooled it
- Computerized advice on drug dosage to improve prescribing practice.The Cochrane database of systematic reviews · 2013Pooled it
- Medication errors in the Middle East countries: a systematic review of the literature.European journal of clinical pharmacology · 2013Pooled it
- Medication errors in pediatric emergencies: a systematic analysis.Deutsches Arzteblatt international · 2012Pooled it
- Electronic prescribing and patient safety: a rigour-stratified systematic review of medication error, adverse drug events, workflow, and communication.Exploratory research in clinical and social pharmacy · 2026Review
- The effect of electronic prescription systems on pharmacy performance through evaluation of existing infrastructure in Kerman Iran.Scientific reports · 2025Article
- Hospital errors and their consequences among healthcare professionals a: descriptive correlational investigation.Annals of medicine and surgery (2012) · 2025Article
- A Mobile Application to Reduce Time to Calculate Medication Dosage and Medication Administration Errors in Simulated Pediatric and Neonatal Settings: A Research Protocol for a Cross-Over, Randomized Controlled Trial.Health science reports · 2025Article
- Electronic Prescribing in the Neonatal Intensive Care Unit: Analysis of Prescribing Errors and Risk Factors.Journal of medical systems · 2025Article
- Implementation of a Regional Standardised Model for Perinatal Electronic Medical Records.Journal of medical systems · 2022Article
- Clinical decision support systems-based interventions to improve medication outcomes: A systematic literature review on features and effects.Medical journal of the Islamic Republic of Iran · 2021Review
- Computerized Physician Order Entry in the Neonatal Intensive Care Unit: A Narrative Review.Applied clinical informatics · 2019Review
- Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group study.Therapeutic advances in drug safety · 2018Article
- Interventions to reduce medication errors in neonatal care: a systematic review.Therapeutic advances in drug safety · 2018Review
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Medication dosing errors are frequent in neonatal wards. In an Iranian neonatal ward, a 7.5 months study was designed in three periods to compare the effect of Computerized Physician Order Entry (CPOE) without and with decision support functionalities in reducing non-intercepted medication dosing errors in antibiotics and anticonvulsants. Before intervention (Period 1), error rate was 53%, which did not significantly change after the implementation of CPOE without decision support (Period 2). However, errors were significantly reduced to 34% after that the decision support was added to the CPOE (Period 3; P < 0.001). Dose errors were more often intercepted than frequency errors. Over-dose was the most frequent type of medication errors and curtailed-interval was the least. Transcription errors did not reduce after the CPOE implementation. Physicians ignored alerts when they could not understand why they appeared. A suggestion is to add explanations about these reasons to increase physicians' compliance with the system's recommendations.
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Registered trials
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.