Evidence map›Paper›PMID 29088436›Full record

SynthesisJournal of the American Medical Informatics Association : JAMIA2018

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.

Clare L Tolley, Niamh E Forde, Katherine L Coffey, Dean F Sittig, Joan S Ash, Andrew K Husband, David W Bates, Sarah P Slight

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

Synthesis in Journal of the American Medical Informatics Association : JAMIA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Observational
  7. Article
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  11. Observational
  12. Patient Weight Should Be Included on All Medication Prescriptions.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2023
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  19. Advancing biomedical and health informatics knowledge through reviews of existing research.Journal of the American Medical Informatics Association : JAMIA · 2019
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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

8 authors.

Clare L TolleySchool of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
Niamh E FordeSchool of Medicine, Pharmacy and Health, Durham University, Durham, UK.
Katherine L CoffeySchool of Medicine, Pharmacy and Health, Durham University, Durham, UK.
Dean F SittigSchool of Biomedical Informatics, The University of Texas Health Science Center at Houston, Houston, TX, USA.
Joan S AshDepartment of Medical Informatics and Clinical Epidemiology, School of Medicine, Oregon Health and Science University, Portland, OR, USA.
Andrew K HusbandSchool of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.
David W BatesCenter for Patient Safety Research and Practice, Division of General Internal Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Sarah P SlightSchool of Pharmacy, Newcastle University, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify and understand the factors that contribute to medication errors associated with the use of computerized provider order entry (CPOE) in pediatrics and provide recommendations on how CPOE systems could be improved. Materials and Methods: We conducted a systematic literature review across 3 large databases: the Cumulative Index to Nursing and Allied Health Literature, Embase, and Medline. Three independent reviewers screened the titles, and 2 authors then independently reviewed all abstracts and full texts, with 1 author acting as a constant across all publications. Data were extracted onto a customized data extraction sheet, and a narrative synthesis of all eligible studies was undertaken. Results: A total of 47 articles were included in this review. We identified 5 factors that contributed to errors with the use of a CPOE system: (1) lack of drug dosing alerts, which failed to detect calculation errors; (2) generation of inappropriate dosing alerts, such as warnings based on incorrect drug indications; (3) inappropriate drug duplication alerts, as a result of the system failing to consider factors such as the route of administration; (4) dropdown menu selection errors; and (5) system design issues, such as a lack of suitable dosing options for a particular drug. Discussion and Conclusions: This review highlights 5 key factors that contributed to the occurrence of CPOE-related medication errors in pediatrics. Dosing support is the most important. More advanced clinical decision support that can suggest doses based on the drug indication is needed.

Indexed as

Medical Order Entry SystemsMedication ErrorsPediatricsDecision Support Systems, ClinicalHumansPharmaceutical PreparationsPharmaceutical Preparations

Identifiers

PMID29088436
PMCPMC7646858

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.