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Beam’s eye view imaging for patient safety
Published in Ross I. Berbeco, Beam’s Eye View Imaging in Radiation Oncology, 2017
In a complex environment like health care, error prevention efforts can have unintended consequences. A classic example of this is the experience with clinical provider order entry (CPOE) systems. One important motivation for implementing CPOE systems is to reduce error, that is, reduce adverse drug events related to medication error by eliminating transcription errors and other faults (Bates et al. 1999). However, such systems do not always have the intended effect. A landmark study from University of Pittsburgh Children’s Hospital, Penn Ave, Pittsburgh, PA (Han et al. 2005) reported experience over at 18-month period in 2001–2003 with the implementation of a new CPOE system. This study actually showed an increase in the mortality of their hospitalized pediatric patients over this period from 2.8% to 6.6% (odds ratio 3.28, p < 0.001). This was attributed to human–computer interface design issues and other challenges during implementation. A survey by another group (Koppel et al. 2005) supports this, finding that one commonly used CPOE system facilitated error in 22 different types of error scenarios. Though such systems are intended to improve safety, it is important to be aware of possible unintended consequences.
Human–Computer Interaction
Published in Julie A. Jacko, The Human–Computer Interaction Handbook, 2012
François Sainfort, Julie A. Jacko, Molly A. McClellan, Paula J. Edwards
Providers and health care provider organizations have long used health-information systems to support both administrative and clinical functions of health care delivery and management. However, despite the fact that health care is one of the most information-intensive industries; it has very few state-of-the-art information management systems. Health care is fragmented, with hundreds of thousands of payers, hospitals, physicians, laboratories, medical centers, pharmacies, and clinics, each with its own legacy of systems, hardware, software, and platforms. EDI and connectivity issues have become critical. Numerous information systems have been developed and implemented, the most noteworthy being integrated EMRs/EHRs and CPOE systems. The following is a discussion of some important clinical applications.
Telemedicine (e-Health, m-Health)
Published in Teena Bagga, Kamal Upreti, Nishant Kumar, Amirul Hasan Ansari, Danish Nadeem, Designing Intelligent Healthcare Systems, Products, and Services Using Disruptive Technologies and Health Informatics, 2023
Mauparna Nandan, Soma Mitra, Antara Parai, Rituraj Jain, Meena Agrawal, Umesh Kumar Singh
Computerised physician order entry (CPOE) is used by medical professionals to enter medical data or instructions electronically. Healthcare providers can prescribe medicines, create orders for labs, radiology, etc., electronically.
Increasing Recognition of Wrong-Patient Errors through Improved Interface Design of a Computerized Provider Order Entry System
Published in International Journal of Human–Computer Interaction, 2018
Meirav Taieb-Maimon, Catherine Plaisant, A. Zachary Hettinger, Ben Shneiderman
Computerized provider order entry (CPOE) systems are computer-based systems that allow a physician or other ordering authority (nurse practitioners, physician’s assistants, etc.) to directly enter orders for medications, tests, or other medical procedures, for a specific patient. Although CPOE systems are often recommended to reduce medication errors (e.g., Radley et al., 2013), reports of CPOE usage indicate that it can introduce or facilitate new errors, which can compromise patient safety (Schiff et al., 2015; The Joint Commission, 2008).