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Computerized Physician Order Entry Systems and Medication Errors
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To the Editor: There are weaknesses in the study of the role of CPOE and medication errors by Dr Koppel and colleagues1 that we would like to clarify. The CPOE system on which the conclusions of the article were drawn is now outdated, with greatly limited capabilities compared with current technology. Because more recent technologies have user interfaces that are more intuitive and better designed to fit physician workflow, this study should not be viewed as an indictment of CPOE at its current level of maturity.
The article’s title suggested that CPOE systems may facilitate errors, but we believe there is inadequate information to reach this conclusion. The study presented subjective, qualitative concerns about the potential for errors, not a quantitatively documented increase in errors. Experiences with CPOE have varied,2-3 but other studies substantiate the conclusion that CPOE and related clinical decision support technologies are fundamental to efforts to reduce . . . [Full Text of this Article]
Sam Bierstock, MD
Vice President and Chief Medical Officer
Healthlink Inc
Delray Beach, Fla
Steven P. Kanig, MD
kanig@swcp.com
President, CustomEHR
Albuquerque, NM
Eugenia Marcus, MD
Pediatric Health Care at Newton Wellesley
Newton, Mass
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