ArticleJournal of the American Medical Informatics Association : JAMIA2017
National trends in safety performance of electronic health record systems in children's hospitals.
Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Association of Hospital Public Quality Reporting With Electronic Health Record Medication Safety Performance.JAMA network open · 2021Trial
- Vulnerability of a New Zealand hospital computerised provider order entry system to prescribing error: a comparative study with other systems.Internal medicine journal · 2025Article
- A simulation study to quantitatively assess the performance of electronic prescribing systems in English NHS Hospital Trusts.Scientific reports · 2025Article
- Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Inpatient EHR User Experience and Hospital EHR Safety Performance.JAMA network open · 2023Article
- Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.JAMIA open · 2022Article
- Implementing Large-Scale Data-Driven Quality Improvement in Assisted Living.Journal of the American Medical Directors Association · 2022Article
- Computer-based simulation to reduce EHR-related chemotherapy ordering errors.Cancer medicine · 2020Article
- The tradeoffs between safety and alert fatigue: Data from a national evaluation of hospital medication-related clinical decision support.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018.JAMA network open · 2020Article
- Improving the Quality of Hospital Antibiotic Use: Impact on Multidrug-Resistant Bacterial Infections in Children.Frontiers in pharmacology · 2020Review
- Impact of a Process Change on Prevalence of Prescribed Unmeasurable Liquid Doses in a Neonatal Intensive Care Unit.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2020Article
- Optimising electronic prescribing in hospitals: a scoping review protocol.BMJ health & care informatics · 2020Article
- Structured override reasons for drug-drug interaction alerts in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Local Investment in Training Drives Electronic Health Record User Satisfaction.Applied clinical informatics · 2019Article
- Are all certified EHRs created equal? Assessing the relationship between EHR vendor and hospital meaningful use performance.Journal of the American Medical Informatics Association : JAMIA · 2018Article
- Engineering technology resilience through informatics safety science.Journal of the American Medical Informatics Association : JAMIA · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Objective: To evaluate the safety of computerized physician order entry (CPOE) and associated clinical decision support (CDS) systems in electronic health record (EHR) systems at pediatric inpatient facilities in the US using the Leapfrog Group's pediatric CPOE evaluation tool. Methods: The Leapfrog pediatric CPOE evaluation tool, a previously validated tool to assess the ability of a CPOE system to identify orders that could potentially lead to patient harm, was used to evaluate 41 pediatric hospitals over a 2-year period. Evaluation of the last available test for each institution was performed, assessing performance overall as well as by decision support category (eg, drug-drug, dosing limits). Longitudinal analysis of test performance was also carried out to assess the impact of testing and the overall trend of CPOE performance in pediatric hospitals. Results: Pediatric CPOE systems were able to identify 62% of potential medication errors in the test scenarios, but ranged widely from 23-91% in the institutions tested. The highest scoring categories included drug-allergy interactions, dosing limits (both daily and cumulative), and inappropriate routes of administration. We found that hospitals with longer periods since their CPOE implementation did not have better scores upon initial testing, but after initial testing there was a consistent improvement in testing scores of 4 percentage points per year. Conclusions: Pediatric computerized physician order entry (CPOE) systems on average are able to intercept a majority of potential medication errors, but vary widely among implementations. Prospective and repeated testing using the Leapfrog Group's evaluation tool is associated with improved ability to intercept potential medication errors.
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