The Journal of Pediatrics
Volume 149, Issue 4 , Pages 461-467.e1 , October 2006

Inpatient verbal orders and the impact of computerized provider order entry

  • Jennifer M. Kaplan, MD
  • ,
  • Rose Ancheta, MS
  • ,
  • Brian R. Jacobs, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Brian R. Jacobs, MD, CMIO, Executive Director, Center for Pediatric Informatics, Children’s National Medical Center, 111 Michigan Avenue, NW, Washington, DC 20010.
  • ,
  • Clinical Informatics Outcomes Research Group

      Affiliations

    • A list of the members of the Clinical Informatics Outcomes Research Group is available at www.jpeds.com.

Received 7 September 2005 ,Revised 13 March 2006 ,Accepted 19 May 2006.

References 

  1. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. N Engl J Med. 1991;324:377–384
  2. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370–376
  3. Leape LL, Lawthers AG, Brennan TA, Johnson WG. Preventing medical injury. QRB Qual Rev Bull. 1993;19:144–149
  4. Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Servi D, et al. ADE Prevention Study Group Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA. 1995;274:29–34
  5. To err is human: building a safer health system. Washington, DC: National Academy Press; 2000;
  6. Fortescue EB, Kaushal R, Landrigan CP, McKenna KJ, Clapp MD, Federico F, et al. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics. 2003;111(4 Pt 1):722–729
  7. Kaushal R, Bates DW, Landrigan C, McKenna KJ, Clapp MD, Federico F, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285:2114–2120
  8. Leape LL, Bates DW, Cullen DJ, Cooper J, Demonaco HJ, Gallivan T, et al. ADE Prevention Study Group Systems analysis of adverse drug events. JAMA. 1995;274:35–43
  9. Cimino MA, Kirschbaum MS, Brodsky L, Shaha SH. Assessing medication prescribing errors in pediatric intensive care units. Pediatr Crit Care Med. 2004;5:124–132
  10. National Coordinating Council for Medication Error Reporting and Prevention. Recommendations to reduce medication errors associated with verbal medication orders and prescriptions. Adopted February 20, 2001. Available at http://www.mccmerp.org. Accessed June 27, 2004.
  11. US pharmacopeia. USP patient safety CAPSLink, October 2002. Available at http://www.usp.org/pdf/patientSafety/capsLink2002-10-01.pdf. Accessed January 30, 2005.
  12. Joint Commission of Accreditation of Healthcare Organizations. 2004 hospitals’ national patient safety goals. Available at http://www.jcaho.org/general+public/patient+safety/04_npsg.htm. Accessed January 30, 2005.
  13. Stucky ER. Prevention of medication errors in the pediatric inpatient setting. Pediatrics. 2003;112:431–436
  14. US Food and Drug Administration Center for Drug Evaluation and Research. National drug code directory. Available at www.fda.gov/cder/ndc. Accessed February 5, 2005.
  15. West DW, Levine S, Magram G, MacCorkle AH, Thomas P, Upp K. Pediatric medication order error rates related to the mode of order transmission. Arch Pediatr Adolesc Med. 1994;148:1322–1326
  16. Shojania KG, Duncan BW, McDonald KM, Wachter RM. Safe but sound: patient safety meets evidence-based medicine. JAMA. 2002;288:508–513
  17. Verbal orders (Right drug, wrong route). Nursing. 2002;32(5):73
  18. Cohen MR. Verbal orders in the OR: masking the truth?. Nursing. 2002;32(6):30
  19. Centers for Medicare and Medicaid Services. State operations manual, appendix A: survey protocol, regulations and interpretive guidelines for hospitals (rev. 1, 05-21-04). Available at http://www.cms.hhs.gov/manuals/107_som/som107ap_a_hospitals.pdf. Accessed January 30, 2005.
  20. Beers M, Avorn J, Soumerai SB, Everitt DE, Sherman DS, Salem S. Psychoactive medication use in intermediate-care facility residents. JAMA. 1988;260:3016–3020
  21. Mekhjian HS, Kumar RR, Kuehn L, Bentley TD, Teater P, Thomas A, et al. Immediate benefits realized following implementation of physician order entry at an academic medical center. J Am Med Inform Assoc. 2002;9:529–539
  22. Field TS, Gurwitz JH, Harrold LR, Rothschild JM, Debellis K, Seger AC, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11:492–498

PII: S0022-3476(06)00481-1

doi: 10.1016/j.jpeds.2006.05.038

The Journal of Pediatrics
Volume 149, Issue 4 , Pages 461-467.e1 , October 2006