Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

Puaar SJ, Franklin BD. BMJ Qual Saf. 2018;27:529-538.

Computerized provider order entry (CPOE) has vastly improved medication safety when compared to handwritten orders. However, even with CPOE, medication ordering errors are common. This qualitative study used a human factors approach to characterize electronic prescribing errors, which were primarily due to CPOE system design, organizational implementation decisions, and individual prescribing behaviors. A PSNet perspective assessed lessons learned about electronic health record safety.

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