{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T20:26:29Z","timestamp":1769027189278,"version":"3.49.0"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,9,11]],"date-time":"2024-09-11T00:00:00Z","timestamp":1726012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["APP1094878"],"award-info":[{"award-number":["APP1094878"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Sydney Children\u2019s Hospitals Network"},{"name":"eHealth, New South Wales"},{"name":"Office of Kids and Families, New South Wales"},{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["APP1174021"],"award-info":[{"award-number":["APP1174021"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"NHMRC","doi-asserted-by":"publisher","award":["APP1143941"],"award-info":[{"award-number":["APP1143941"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To examine changes in technology-related errors (TREs), their manifestations and underlying mechanisms at 3 time points after the implementation of computerized provider order entry (CPOE) in an electronic health record; and evaluate the clinical decision support (CDS) available to mitigate the TREs at 5-years post-CPOE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Prescribing errors (n\u2009=\u20091315) of moderate, major, or serious potential harm identified through review of 35\u00a0322 orders at 3 time points (immediately, 1-year, and 4-years post-CPOE) were assessed to identify TREs at a tertiary pediatric hospital. TREs were coded using the Technology-Related Error Mechanism classification. TRE rates, percentage of prescribing errors that were TREs, and mechanism rates were compared over time. Each TRE was tested in the CPOE 5-years post-implementation to assess the availability of CDS to mitigate the error.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>TREs accounted for 32.5% (n\u2009=\u2009428) of prescribing errors; an adjusted rate of 1.49 TREs\/100 orders (95% confidence interval [CI]: 1.06, 1.92). At 1-year post-CPOE, the rate of TREs was 40% lower than immediately post (incident rate ratio [IRR]: 0.60; 95% CI: 0.41, 0.89). However, at 4-years post, the TRE rate was not significantly different to baseline (IRR: 0.80; 95% CI: 0.59, 1.08). \u201cNew workflows required by the CPOE\u201d was the most frequent TRE mechanism at all time points. CDS was available to mitigate 32.7% of TREs.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>In a pediatric setting, TREs persisted 4-years post-CPOE with no difference in the rate compared to immediately post-CPOE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Greater attention is required to address TREs to enhance the safety benefits of systems.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae218","type":"journal-article","created":{"date-parts":[[2024,9,12]],"date-time":"2024-09-12T02:52:03Z","timestamp":1726109523000},"page":"105-112","source":"Crossref","is-referenced-by-count":1,"title":["Longitudinal study of the manifestations and mechanisms of technology-related prescribing errors in pediatrics"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6995-2849","authenticated-orcid":false,"given":"Magdalena Z","family":"Raban","sequence":"first","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"given":"Erin","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"given":"Alison","family":"Merchant","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"given":"Bayzidur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"given":"Tim","family":"Badgery-Parker","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1642-142X","authenticated-orcid":false,"given":"Ling","family":"Li","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1645-9126","authenticated-orcid":false,"given":"Melissa T","family":"Baysari","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Biomedical Informatics and Digital Health, Faculty of Medicine and Health, The University of Sydney , New South Wales 2006,","place":["Australia"]}]},{"given":"Peter","family":"Barclay","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The Sydney Children\u2019s Hospital Network , Sydney, New South Wales 2145,","place":["Australia"]}]},{"given":"Michael","family":"Dickinson","sequence":"additional","affiliation":[{"name":"Digital Health Services, South Western Sydney Local Health District , Sydney, New South Wales 2170,","place":["Australia"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7915-0615","authenticated-orcid":false,"given":"Virginia","family":"Mumford","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1083-8192","authenticated-orcid":false,"given":"Johanna I","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University , Sydney, New South Wales 2109,","place":["Australia"]}]}],"member":"286","published-online":{"date-parts":[[2024,9,11]]},"reference":[{"issue":"1","key":"2024121616113832200_ocae218-B1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1093\/jamia\/ocaa230","article-title":"How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? 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