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Review Question - QID 1213

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QID 1213 (Type "1213" in App Search)
A hospital has recently moved from a paper to a computerized physician order entry (CPOE) system. Compared to the previous safety auditing reports, the hospital can now expect which of the following?

A decrease in nephrotoxic drug dosing

71%

421/597

No improvement in prescribing behaviors

7%

40/597

An increase in patient satisfaction following use of patient controlled analgesia (PCA)

2%

14/597

An increase in sentinel events

10%

61/597

No effect on physician prescribing errors

10%

57/597

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Medication ordering error rates are the most common preventable medication errors. CPOE has improved safety in drug ordering. CPOE has resulted in a decrease in nephrotoxic drug dosing. Kaushal et al performed a systematic review of safety resulting from use of CPOEs. They concluded that most studies were underpowered and used institutional based systems. However, there was a substantial decrease in serious medication error rates, antibiotic-associated medication errors, adverse drug events, improvements in prescribing behaviors and nephrotoxic drug dosing. Teich et al evaluated CPOEs and determined that computer prompts for dosing and frequency for medications led to fewer provider errors and increased patient safety.

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