Integration of real-time computerized provider order entry alerts cut prescribing of potentially harmful, less effective medications in older patients.Drugs Aging. 2015;32:227-233.
Impact of computerized physician order entry alerts on prescribing in older patients.
Lester PE, Rios-Rojas L, Islam S, Fazzari MJ, Gomolin IH. Drugs Aging. 2015;32:227-233.
Older patients are particularly vulnerable to medication errors, with certain high-risk medications accounting for a large proportion of adverse drug events in these patients. This study evaluated the effect of warnings within a computerized provider order entry (CPOE) system targeting prescribing of unsafe medications to patients aged 65 years and older. The warnings resulted in a significant decrease in prescribing of two of the three medications targeted over a 3-year period. The authors note that there were readily available, safer alternatives for those medications, but not for the drug which continued to be prescribed. Also, prescription rates of all three medications were unchanged in younger patients, indicating that the tailored nature of the alerts played a role in their effectiveness. While clinical decision support within CPOE does have some effect on safe prescribing, the use of computerized warnings of this type must be balanced against the very real possibility that alert fatigue may develop as a result.
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
Designing decision support for insulin ordering in a computerized provider order entry system.
Wright L, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:158–161.
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
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Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.