Computer order entry systems reduce preventable adverse drug events
New research finds a drop in preventable adverse drug events following implementation of computer order entry systems at community hospitals
2012-02-08
(Press-News.org) Boston, MA – Despite a national mandate to implement electronic health records and computer order entry systems (CPOE) by 2014, only approximately 30 percent of hospitals nationwide have done so and around 40 percent of hospitals in the state of Massachusetts have made this transition. New research from Brigham and Women's Hospital examined the impact of a vendor-developed CPOE in five community hospitals in Massachusetts and found that these CPOE systems are effective at reducing drug-related injury and harm. This research is published online in the Journal of General Internal Medicine.
The majority of studies that evaluate CPOE systems have been performed in academic settings with systems that have been developed internally. While these studies have demonstrated significant reductions in the rates of preventable adverse drug events (ADE), there has been no research into the effectiveness of vendor CPOE systems in a community hospital setting.
"We knew from prior research that there was potential to significantly reduce preventable ADEs at community hospitals through CPOE," said Dr. David Bates, Senior Vice President for Quality and Safety at Brigham and Women's Hospital and senior author on the study. "Our research demonstrates that this is true. We observed a 34 percent reduction in preventable ADEs overall in the community hospital setting following the implementation of a vendor CPOE system."
Researchers evaluated the impact of CPOE systems on the frequency of adverse drug events (ADE) in five community hospitals in Massachusetts between January 2005 and September 2011. Each hospital independently selected and implemented a vendor CPOE system with decision support capabilities. They looked at the incidence of preventable ADEs and the rate of potential ADEs and ADEs overall.
An ADE was defined as any drug-related injury. They were considered preventable if they were due to an error or were preventable by any means available. A non-preventable ADE was defined as any drug-related injury in which there was no error in the medication process. A potential ADE, or near miss, was defined as a medication error with the potential to cause harm to the patient, but did not actually cause injury.
Researchers observed a 34 percent reduction for preventable ADEs, but an increase of 29.5 percent in potential ADEs or near-misses following implementation of a CPOE system.
"Our study shows that while rates of preventable ADEs may fall after CPOE implementation, all sites can benefit from tracking issues found post-implementation and making changes accordingly," Bates said. "The expertise and experience of others that have previously implemented CPOE can help guide the process."
Bates and colleagues note that further research needs to be conducted to explore the safest and most effective way to implement vendor CPOE and other technology. Bates and colleagues are currently investigating the impact of clinical decision support systems on ADE rates and identifying barriers to implementation.
INFORMATION:
Brigham and Women's Hospital (BWH) is a 793-bed nonprofit teaching affiliate of Harvard Medical School and a founding member of Partners HealthCare, an integrated health care delivery network. BWH is the home of the Carl J. and Ruth Shapiro Cardiovascular Center, the most advanced center of its kind. BWH is committed to excellence in patient care with expertise in virtually every specialty of medicine and surgery. The BWH medical preeminence dates back to 1832, and today that rich history in clinical care is coupled with its national leadership in quality improvement and patient safety initiatives and its dedication to educating and training the next generation of health care professionals. Through investigation and discovery conducted at its Biomedical Research Institute (BRI), www.brighamandwomens.org/research , BWH is an international leader in basic, clinical and translational research on human diseases, involving more than 900 physician-investigators and renowned biomedical scientists and faculty supported by more than $537 M in funding. BWH is also home to major landmark epidemiologic population studies, including the Nurses' and Physicians' Health Studies and the Women's Health Initiative. For more information about BWH, please visit www.brighamandwomens.org
END
ELSE PRESS RELEASES FROM THIS DATE:
2012-02-08
A new immunotherapy for companion dogs with advanced-stage non-Hodgkin lymphoma (NHL) has been shown to improve survival while maintaining quality of life, according to a study published in the journal Scientific Reports. The study resulted from a collaboration between The University of Texas MD Anderson Children's Cancer Hospital in Houston and Texas A&M University College of Veterinary Medicine in College Station.
Using a T-cell therapy developed at MD Anderson Children's Cancer Hospital, veterinarians from Texas A&M saw a nearly four-fold improvement in tumor-free ...
2012-02-08
DURHAM, N.H. – Americans' knowledge of facts about the polar regions of the globe has increased since 2006, but this increase in knowledge has not translated into more concern about changing polar environments, according to new research from the Carsey Institute at the University of New Hampshire.
"People's knowledge of polar regions and issues improved from 2006 to 2010, consistent with hopes that the International Polar Year in 2007 would boost public awareness. Unfortunately, we did not see a companion increase in concern about the environmental changes in these regions, ...
2012-02-08
A woman who was an advertising executive for Y&R was recently killed in a mid-town Manhattan office building elevator accident. According to the New York Times, she "was crushed to death...after the elevator she was stepping into lurched upward, pinning her between the outside of the car and the wall of the elevator shaft."
After the New York elevator accident occurred, two other passengers waited an hour inside the elevator with her body before emergency personnel could rescue them.
Who is Responsible for the Elevator Accident?
The New York City ...
2012-02-08
New research presented at the 2012 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS) found that 77 percent of trauma patients had deficient or insufficient levels of vitamin D.
Researchers have linked a lack of vitamin D with muscle weakness, bone fractures, and the inability of bones to fully heal. In a new study, investigators sought to determine the prevalence of vitamin D deficiency among orthopaedic trauma patients.
Investigators reviewed the medical records of 1,830 adult (ages 18 and older) patients at a university Level 1 trauma center from ...
2012-02-08
When it comes to diets, cookies and cake are off the menu. Now, in a surprising discovery, researchers from Tel Aviv University have found that dessert, as part of a balanced 600-calorie breakfast that also includes proteins and carbohydrates, can help dieters to lose more weight — and keep it off in the long run.
They key is to indulge in the morning, when the body's metabolism is at its most active and we are better able to work off the extra calories throughout the day, say Prof. Daniela Jakubowicz, Dr. Julio Wainstein and Dr. Mona Boaz of Tel Aviv University's Sackler ...
2012-02-08
The terrible truth about the danger of football head injuries keeps piling up. Many former pro players are burdened later in life with dementia and other forms of long-term cognitive loss. Some of these players are suing the NFL, seeking compensation for their injuries.
But the problem of brain damage suffered in sports competition isn't present only at the professional level. As knowledge of the problem increases, state legislatures have begun to respond with laws aimed at making competition safer in youth sports.
This is a development that Ohio brain injury lawyers ...
2012-02-08
When you are about to collide into something and manage to swerve away just in the nick of time, what exactly is happening in your brain? A new study from the Montreal Neurological Institute and Hospital – The Neuro, McGill University shows how the brain processes visual information to figure out when something is moving towards you or when you are about to head into a collision. The study, published in the Proceedings of the National Academy of Sciences of the USA (PNAS), provides vital insight into our sense of vision and a greater understanding of the brain.
Researchers ...
2012-02-08
A doll in a doll, and then one more, enveloping them from the outside – this is how Thomas Faessler explains his molecule. He packs one atom in a cage within an atom framework. With their large surfaces these structures can serve as highly efficient catalysts. Just like in the Russian wooden toy, a hull of twelve copper atoms encases a single tin atom. This hull is, in turn, enveloped by 20 further tin atoms. Professor Faessler's work group at the Institute of Inorganic Chemistry at the Technische Universitaet Muenchen (TUM) was the first to generate these spatial structures ...
2012-02-08
Hampton Inn & Suites Atlanta Galleria Hotel, a leading Smyrna Georgia hotel, is the perfect place for guests to stay who are attending upcoming Atlanta Ballet performances. Held at the Cobb Energy Performing Arts Centre, Atlanta Ballet's upcoming shows include:
- Twyla Tharp's The Princess and the Goblin, February 10-19
- Snow White, February 16-18
- Man in Black, March 23 - 25
The Atlanta Ballet's 2011-12 season includes a mix of classical and modern dance. Presenting The Princess and the Goblin in mid-February, a world premier ballet choreographed by Twyla ...
2012-02-08
WEST LAFAYETTE, Ind. - Researchers have learned how to improve the performance of sensors that use tiny vibrating microcantilevers to detect chemical and biological agents for applications from national security to food processing.
The microcantilevers - slivers of silicon shaped like small diving boards - vibrate at their natural, or "resonant," frequency. Analyzing the frequency change when a particle lands on the microcantilever reveals the particle's presence and potentially its mass and composition.
The sensors are now used to research fundamental scientific questions. ...
LAST 30 PRESS RELEASES:
[Press-News.org] Computer order entry systems reduce preventable adverse drug events
New research finds a drop in preventable adverse drug events following implementation of computer order entry systems at community hospitals
