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[Year] March 2005 [Description] Nationwide adoption of computerized physician order entry systems likely will not be hampered by a Journal of the American Medical Association study published last week (Koppel R, Metlay JP, Cohen A, Abaluck B, Localio AR, Kimmel SE, et al. Role of computerized physician order entry systems in facilitating medication errors. Jama 2005;293(10):1197-203) that found that CPOE systems might actually facilitate mistakes as well as prevent them, according to some patient safety experts. The study instead should raise people's awareness about the most effective ways to implement the systems, some experts say. Researchers looked at a CPOE system at a large teaching hospital between 2002 and 2004 and found that the system facilitated 22 types of medication error risks. Some error risks identified included mixing up patient names in the computer and delays because of frequent computer crashes. Also, the researchers cited fragmentation of patient records as a problem, saying that up to 20 screens might be needed to view all of a patient's medications, which increases the likelihood of selecting the wrong medication. Errors cited occurred as frequently as several times a week to every day. [References] Complete iHealthBeat article Comment of J. Nielsen [Name] 
Medication Errors due to CPOE
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