Document Detail


Impact of emerging technologies on medication errors and adverse drug events.
MedLine Citation:
PMID:  12892029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Published evidence on the effects of computerized physician order entry (CPOE), automated dispensing machines (ADMs), bar coding, and computerized medication administration records (CMARs) on medication errors and adverse drug events (ADEs) were reviewed. Emerging technologies have been recommended as potential mechanisms for reducing medication errors. Critical evaluations of the impact of these new technologies on medication errors and other adverse outcomes are lacking. PubMed was searched to identify all peer-reviewed publications linking four technologies (CPOE, ADMs, bar coding, and CMARs) with reductions in medication errors and ADEs and secondary endpoints. All controlled studies that assessed the impact of the technologies were evaluated. The appropriateness of the use of these technologies was also examined. Few studies were identified that evaluated the technologies' impact on these endpoints. Of the evaluated technologies, CPOE was the most studied; however, investigations were limited to selected medical centers. The appropriateness of use of the technologies was evaluated even more infrequently. A literature review revealed a paucity of controlled, generalizable studies confirming the benefits of technologies intended to reduce medication errors and ADEs. Very little evidence on the appropriateness of the use of these technologies was found.
Authors:
Eyal Oren; Ellen R Shaffer; B Joseph Guglielmo
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Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists     Volume:  60     ISSN:  1079-2082     ISO Abbreviation:  Am J Health Syst Pharm     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-08-01     Completed Date:  2003-10-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9503023     Medline TA:  Am J Health Syst Pharm     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1447-58     Citation Subset:  IM    
Affiliation:
Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, USA.
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MeSH Terms
Descriptor/Qualifier:
Automatic Data Processing / trends*
Drug Therapy, Computer-Assisted / trends*
Medical Records Systems, Computerized / trends*
Medication Errors / trends*
Medication Systems, Hospital / trends*
Pharmaceutical Preparations / adverse effects*
Chemical
Reg. No./Substance:
0/Pharmaceutical Preparations

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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