jueves, 13 de agosto de 2015

AHRQ Patient Safety Network ► The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.

AHRQ Patient Safety Network

In the inpatient hematology–oncology setting, adverse drug events significantly lower after computerized provider order entry, but some errors persist.

J Clin Pharm Ther. 2015 Jul 14; [Epub ahead of print].

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The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation.

Sanchez Cuervo M, Rojo Sanchis A, Pueyo Lopez C, Gomez de Salazar Lopez de Silanes E, Gramage Caro T, Bermejo Vicedo T. J Clin Pharm Ther. 2015 Jul 14; [Epub ahead of print].

Computerized provider order entry (CPOE) has been shown to decrease some adverse drug events (ADEs), but it has also introduced medication errors across multiple settings. This study examined the incidence of ADEs in an inpatient hematology–oncology setting in three timeframes: before CPOE, immediately following implementation, and 5 years later. Although researchers found a significant reduction in ADEs, some errors persisted. These results argue for continued development of decision support to enhance prescribing, particularly in high-risk environments such as inpatient cancer treatment. A past AHRQ WebM&M interviewdiscussed how technology can augment medication safety.

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