Physicians Failed to Write Flawless Prescriptions When Computerized Physician Order Entry System Crashed

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This is a review of a CPOE study conducted in Taiwan and published in Clinical Therapeutics in 2015.

Inroduction

The authors suggest that overdependence on technology can result in unintended medication errors and affect physicians prescription wiring skills. This study assessed the completeness, legibility, and accuracy of physicians' handwritten prescriptions during an unintentional crash of a long-running CPOE system at a large hospital. [1]

Methods

The CPOE failure occurred in 2010 in a large hospital because of a hardware problem. The downtime lasted 3.5 hours. The analysis of a handwritten prescription was divided in 2 parts:(1) patient's and prescriber's data; and (2) drug data. Treatment decisions were not analyzed.

Results

The study analyzed 1418 prescriptions with 3805 medications The authors were unable to find a prescription that had all necessary fields filled in. For patient's and prescriber's data, only 4.5% of prescriptions fulfilled the criteria of completeness, legibility, and accuracy. For drug data, only 0.4% of prescriptions fulfilled the same criteria.

Discissions

References

  1. Hsu, C., Chou, C., Chen, T., Ho, C., Lee, C., & Chou, Y. (2015). Physicians failed to write flawless prescriptions when computerized physician order entry system crashed. Clinical Therapeutics, 37(5), 1076-1080. http://www.ncbi.nlm.nih.gov/pubmed/25841544