The impact of computerized physician order entry on patient safety; systematic review

CPOE increase patient safety as a decreasing way of medical errors. The aim of this study was to investigate the role of computerized physician order entry on patient safety in health care. Current research indicates that ineffective communication among health care professionals is one of the leading causes of medical errors and patient harm. A review of reports from the Joint Commission reveals that communication failures were implicated at the root of over 70 percent of sentinel events. When asked to select contributing factors to patient care errors, nurses cited communication issues with physicians as one of the two most highly contributing factors, according to the National Council of State Boards of Nursing reports. The study is a systematic review in which all the related articles since 2005 to 2015 were reviewed. The related articles were sought and found in databases (Google scholar, PubMed and Science Direct) and English keywords are applied. Thus 112 English printed articles were retrieved and eventually 11 were selected to study. Considering the 11 articles, suggested that 1 article use the impact of CPOE on turnaround time and another article work on the adverse drug events. Other studies examined several factors of patient safety including: Drug interactions, improving medication orders and prescription, proper dosage and the use of abbreviations. In one study, the largest impact of CPOE was reducing errors of illegibility (97%), use of inappropriate abbreviations (94%) and missing information (85%). The results of this review indicate that CPOE systems reduce medication errors and improve patient safety so that it is an important role.

کلیدواژه ها:

Computerized physician order entry ، Patient safety ، Medical errors ، Adverse drug events