{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T21:46:22Z","timestamp":1776116782288,"version":"3.50.1"},"reference-count":66,"publisher":"Oxford University Press (OUP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:p>Objective: To understand the different types and causes of prescribing errors associated with computerized provider order entry (CPOE) systems, and recommend improvements in these systems.<\/jats:p>\n               <jats:p>Materials and Methods: We conducted a systematic review of the literature published between January 2004 and June 2015 using three large databases: the Cumulative Index to Nursing and Allied Health Literature, Embase, and Medline. Studies that reported qualitative data about the types and causes of these errors were included. A narrative synthesis of all eligible studies was undertaken.<\/jats:p>\n               <jats:p>Results: A total of 1185 publications were identified, of which 34 were included in the review. We identified 8\u2009key themes associated with CPOE-related prescribing errors: computer screen display, drop-down menus and auto-population, wording, default settings, nonintuitive or inflexible ordering, repeat prescriptions and automated processes, users\u2019 work processes, and clinical decision support systems. Displaying an incomplete list of a patient\u2019s medications on the computer screen often contributed to prescribing errors. Lack of system flexibility resulted in users employing error-prone workarounds, such as the addition of contradictory free-text comments. Users\u2019 misinterpretations of how text was presented in CPOE systems were also linked with the occurrence of prescribing errors.<\/jats:p>\n               <jats:p>Discussion and Conclusions: Human factors design is important to reduce error rates. Drop-down menus should be designed with safeguards to decrease the likelihood of selection errors. Development of more sophisticated clinical decision support, which can perform checks on free-text, may also prevent errors. Further research is needed to ensure that systems minimize error likelihood and meet users\u2019 workflow expectations.<\/jats:p>","DOI":"10.1093\/jamia\/ocw119","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:49:32Z","timestamp":1472690972000},"page":"432-440","source":"Crossref","is-referenced-by-count":106,"title":["A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care"],"prefix":"10.1093","volume":"24","author":[{"given":"Clare L","family":"Brown","sequence":"first","affiliation":[{"name":"Division of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Stockton on Tees, Durham, UK"},{"name":"Newcastle upon Tyne hospitals NHS Foundation Trust, Queen Victoria Road, Newcastle upon Tyne, Tyne and Wear, UK"}]},{"given":"Helen L","family":"Mulcaster","sequence":"additional","affiliation":[{"name":"Division of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Stockton on Tees, Durham, UK"}]},{"given":"Katherine L","family":"Triffitt","sequence":"additional","affiliation":[{"name":"Division of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Stockton on Tees, Durham, UK"}]},{"given":"Dean F","family":"Sittig","sequence":"additional","affiliation":[{"name":"School of Biomedical Informatics, The University of Texas Health Science Center at Houston, TX, USA"}]},{"given":"Joan S","family":"Ash","sequence":"additional","affiliation":[{"name":"Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA"}]},{"given":"Katie","family":"Reygate","sequence":"additional","affiliation":[{"name":"Health Education KSS Pharmacy, Downsmere Building, Princess Royal Hospital, West Sussex, UK"}]},{"given":"Andrew K","family":"Husband","sequence":"additional","affiliation":[{"name":"Division of Pharmacy, School of Medicine, Pharmacy 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