Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders

摘要: Objective Medication voiding is a computerised provider order entry (CPOE)-based discontinuation mechanism that allows clinicians to identify erroneous medication orders. We investigated the accuracy of as an indicator clinician identification and interception ordering error, reasons root contributors for errors. Method Using voided orders identified with void alert, we conducted interviews clinicians, followed by patient chart reviews. A structured coding framework was used qualitatively analyse also compared clinician-CPOE-selected (at time voiding), clinician-reported (interview) review-based voiding. Results follow-up on 101 The positive predictive value (PPV) were errors 93.1% (95% CI 88.1% 98.1%, n=94). gold standard, found less reflective (PPV=70.2%, 95% 61.0% 79.4%) than (PPV=86.1%, 95%CI 78.2% 94.1%) Duplicate (n=44) improperly composed (n=41) common, often caused predefined sets data issues. striking finding use intentional violations notify seek assistance from pharmacy service. Nearly half pharmacists. Discussion demonstrated effectively captured mismatch between error emphasises need developing standardised operational descriptions Such standardisation can help in accurately identifying, tracking, managing sharing their healthcare institutions, safety organisations.