Technology-induced errors associated with computerized provider order entry software for older patients.

摘要: Background The introduction of new technologies in the prescribing process has seen emergence types medication errors. Objective To determine prevalence and consequences technology-induced prescription errors associated with a computerized provider order entry (CPOE) system hospitalized older patients. Setting Patients 65 years or admitted to Departments Internal Medicine, General Surgery, Vascular Surgery tertiary hospital. Method Prospective observational 6-month study. Technology-induced were classified according various taxonomies. Interrater reliability was measured. Consequences assessed by interviewing patients healthcare providers their severity. Main outcome measure Prevalence Results A total 117 included 107 recorded. these 3.65%. Half clinical (n = 54) majority as wrong dose, strength, formulation. Clinical 9 times more likely be severe than procedural (14.8 vs 1.9%; OR 9.04, 95% CI 1.09–75.07). Most did not reach patient. Almost all related human–machine interactions due (n = 61) partial (n = 41) entries. Conclusion are common intrinsic implementation such CPOE. appear low trials should conducted analyse detail way occur establish strategies solve them increase patient safety.