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We queried the USP MEDMARX (now part of Quantros Safety and Risk Management suite) for all medication error reports from January 2003 to April 2010 that were coded by the error reporters as having 'CPOE' as one of the 'contributing causes' of the errors.
An analysis of medication error reports at LDS Hospital revealed the occurrence of errors that should have been detected and prevented by decision support features if real-time entry at the bedside had taken place.
Half of these medication error reports were recorded with hepatotoxicity.
Medication error reports provide valuable information for understanding CPOE-related errors.
FDA AERS is a database that provides information on adverse event and medication error reports submitted to FDA [ 10].
The objectives of this study are to (a) analyse medication error reports where CPOE was reported as a 'contributing cause' and (b) develop 'use cases' based on these reports to test vulnerability of current CPOE systems to these errors.
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Most hospitals rely on nurses' voluntary medication error reporting, but these errors are under-reported.
Error-reporting systems generally rely on self-reporting and, likewise, the SAQ scores on medication error reporting are only estimates, subject to recall bias and voluntary disclosure.
To have health care professionals in nursing homes identify organizational-level and individual-level modifiable barriers to medication error reporting.
This study describes a computer simulation model that has been developed to explore organizational changes required to improve patient safety based on a medication error reporting system.
These spontaneous error reports were submitted from institutions subscribing to the MEDMARX medication error reporting system.
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