{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T07:29:49Z","timestamp":1776583789888,"version":"3.51.2"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"2","funder":[{"name":"United States Food and Drug","award":["HHSF223201000008I\/HHSF22301005T"],"award-info":[{"award-number":["HHSF223201000008I\/HHSF22301005T"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,3,1]]},"abstract":"<jats:p>Objective: To examine medication errors potentially related to computerized prescriber order entry (CPOE) and refine a previously published taxonomy to classify them.<\/jats:p>\n               <jats:p>Materials and Methods: We reviewed all patient safety medication reports that occurred in the medication ordering phase from 6 sites participating in a United States Food and Drug Administration\u2013sponsored project examining CPOE safety. Two pharmacists independently reviewed each report to confirm whether the error occurred in the ordering\/prescribing phase and was related to CPOE. For those related to CPOE, we assessed whether CPOE facilitated (actively contributed to) the error or failed to prevent the error (did not directly cause it, but optimal systems could have potentially prevented it). A previously developed taxonomy was iteratively refined to classify the reports.<\/jats:p>\n               <jats:p>Results: Of 2522 medication error reports, 1308 (51.9%) were related to CPOE. Of these, CPOE facilitated the error in 171 (13.1%) and potentially could have prevented the error in 1137 (86.9%). The most frequent categories of \u201cwhat happened to the patient\u201d were delays in medication reaching the patient, potentially receiving duplicate drugs, or receiving a higher dose than indicated. The most frequent categories for \u201cwhat happened in CPOE\u201d included orders not routed to or received at the intended location, wrong dose ordered, and duplicate orders. Variations were seen in the format, categorization, and quality of reports, resulting in error causation being assignable in only 403 instances (31%).<\/jats:p>\n               <jats:p>Discussion and Conclusion: Errors related to CPOE commonly involved transmission errors, erroneous dosing, and duplicate orders. More standardized safety reporting using a common taxonomy could help health care systems and vendors learn and implement prevention strategies.<\/jats:p>","DOI":"10.1093\/jamia\/ocw125","type":"journal-article","created":{"date-parts":[[2016,9,28]],"date-time":"2016-09-28T01:29:08Z","timestamp":1475026148000},"page":"316-322","source":"Crossref","is-referenced-by-count":56,"title":["Computerized prescriber order entry\u2013related patient safety reports: analysis of 2522 medication errors"],"prefix":"10.1093","volume":"24","author":[{"given":"Mary G","family":"Amato","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"MCPHS University, Boston"}]},{"given":"Alejandra","family":"Salazar","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"}]},{"given":"Thu-Trang T","family":"Hickman","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"}]},{"given":"Arbor JL","family":"Quist","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"}]},{"given":"Lynn A","family":"Volk","sequence":"additional","affiliation":[{"name":"Partners HealthCare, Information Systems, Wellesley, Massachusetts"}]},{"given":"Adam","family":"Wright","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and Women\u2019s Hospital, Boston, Massachusetts, USA"},{"name":"Harvard Medical School, Boston"}]},{"given":"Dustin","family":"McEvoy","sequence":"additional","affiliation":[{"name":"Partners HealthCare, Information Systems, Wellesley, Massachusetts"}]},{"given":"William L","family":"Galanter","sequence":"additional","affiliation":[{"name":"University of Illinois at Chicago, Chicago, Illinois, USA"}]},{"given":"Ross","family":"Koppel","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia, USA"}]},{"given":"Beverly","family":"Loudin","sequence":"additional","affiliation":[{"name":"Atrius Health, Boston"}]},{"given":"Jason","family":"Adelman","sequence":"additional","affiliation":[{"name":"Columbia University Medical Center, New York, New York, USA"}]},{"suffix":"III","given":"John D","family":"McGreevey","sequence":"additional","affiliation":[{"name":"University of Pennsylvania, Philadelphia, USA"}]},{"given":"David H","family":"Smith","sequence":"additional","affiliation":[{"name":"Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA"}]},{"given":"David W","family":"Bates","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Primary Care, Brigham and 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