Computerized Provider Order Entry Cuts Medication Error Likelihood in Half

Electronic Newsletter, Issue 370

AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.

March 4, 2013

AHRQ Stats

Only 7 percent of Americans were hospitalized in 2010, but the average expense per hospital stay was almost $18,000. (Source: Agency for Healthcare Research and Quality, MEPS Statistical Brief #396, National Health Care Expenses for the U.S. Civilian Noninstitutionalized Population, 2010.)

Today's Headlines

  1. Computerized Provider Order Entry Cuts Medication Error Likelihood in Half.
  2. Online Disease Management System Supports Improvement of Patients with Diabetes.
  3. New Research on Stenting in Patients with Coronary Artery Disease.
  4. AHRQ’s Health Care Innovations Exchange Focuses on Dental Programs for the Underserved.
  5. Register Now for April 25-26 Conference on "Health Disparities Research at the Intersection of Race, Ethnicity, and Disability".
  6. Register Now for May 3 Conference on Advancing Quality Improvement Science for Children’s Healthcare Research.
  7. AHRQ in the professional literature.

 1. Computerized Provider Order Entry Cuts Medication Error Likelihood in Half

Processing a prescription through an electronic ordering system can reduce the likelihood of a drug error by half and avoid more than 17 million such incidents in U.S. hospitals in one year alone, according to a new study supported by AHRQ. The study authors evaluated evidence on the impact of computerized provider order entry (CPOE) on hospital drug errors and combined this information with data on CPOE adoption and the volume of medication orders processed annually. They found that CPOE adoption reduced drug errors and concluded that CPOE could substantially reduce the annual number of those errors if widely implemented. Select to access the study , "Reduction in Medication Errors in Hospitals due to Adoption of Computerized Provider Order Entry Systems," which was published online on February 20 in the Journal of the American Medical Informatics Association.

 2. Online Disease Management System Supports Improvement of Patients with Diabetes

Diabetes patients who received a Web-based intervention that supported case management and dietary counseling improved their blood sugar levels over time, suggests an AHRQ-supported study. Patients who received online support from a nurse-led multidisciplinary team achieved greater improvement in their A1C levels than patients who received standard diabetes management from a primary care provider. The study, "Online disease management of diabetes: Engaging and Motivating Patients Online With Enhanced Resources-Diabetes (EMPOWER-D), a randomized controlled trial," appeared in the November edition of the Journal of the American Medical Informatics Association. Select to access the abstract on PubMed®.

 3. New Research on Stenting in Patients with Coronary Artery Disease

AHRQ’s Effective Health Care Program features new clinician research that compares imaging techniques versus angiography alone and discusses the effectiveness of various methods for determining whether coronary stenting is necessary for patients with coronary artery disease. Select to access the full research review, Intravascular Diagnostic Procedures and Imaging Techniques Versus Angiography Alone in Coronary Artery Stenting: Comparative Effectiveness Review.

 4. AHRQ’s Health Care Innovations Exchange Focuses on Dental Programs for the Underserved

The February 27 issue of AHRQ’s Health Care Innovations Exchange features three programs that use innovative strategies to provide needed dental care to underserved populations. A Washington State program offers enhanced access to dental services for Medicaid-eligible children younger than 6 years. The comprehensive, multi-stakeholder program, known as Access to Baby and Child Dentistry (ABCD), uses training, enhanced reimbursement, and ongoing support for providers, combined with outreach, education, and support for eligible families. The local dental society and program coordinator worked with the University of Washington School of Dentistry to identify dentists who can champion the program in a given area. ABCD-certified dentists receive increased reimbursement from Medicaid for certain preventive and restorative procedures. The program coordinator identifies eligible children, educates their families about the importance of early oral care, and links children to a practice that matches their transportation, language, and family needs. The proportion of Medicaid-enrolled children ages 5 and younger who received dental care more than doubled after the program began, from 21 percent in 1997 to 51 percent in 2012. View more innovation profiles and tools related to dental health care for underserved populations on the Innovations Exchange Web site, which contains more than 750 searchable innovations and 1,500 Quality Tools.

 5. Register Now for April 25-26 Conference on "Health Disparities Research at the Intersection of Race, Ethnicity, and Disability"

An AHRQ-sponsored national conference, to be held April 25-26 in Washington, D.C., will bring together researchers, advocates, and policy-makers to share information and discuss racial, ethnic, and disability-related disparities. Attendees will learn about barriers to health care and health promotion for people with disabilities in underserved racial and ethnic groups, share research work on the intersection of racial/ethnic disparities and disabilities, and discuss priorities for future research and action. The conference is sponsored by AHRQ, the Association of University Centers on Disabilities, and the Special Hope Foundation. Select to register for the conference .

 6. Register Now for May 3 Conference on Advancing Quality Improvement Science for Children’s Healthcare Research

Register today for the American Pediatric Association’s third annual conference on pediatric quality improvement methods, research, and evaluation. Individuals with interest and/or experience in how to conduct, evaluate, apply, or interpret quality improvement research should attend. CME credit is available. This AHRQ-funded meeting will be held on May 3, in Washington, D.C.

 7. AHRQ in the Professional Literature

Sasson C, Magid DJ, Chan P, Root ED, McNally BF, Kellermann AL, Haukoos JS. Association of neighborhood characteristics with bystander-initiated CPR. N Engl J Med 2012 Oct 25; 367(17):1607-15. Select to access the abstract on PubMed®.

Dimick JB, Staiger DO, Osborne NH, et al. Composite measures for rating hospital quality with major surgery. Health Serv Res 2012 Oct; 47(5):1861-79. Select to access the abstract on PubMed®.

Matone M, Localio R, Huang YS, et al. The relationship between mental health diagnosis and treatment with second-generation antipsychotics over time: a national study of U.S. Medicaid-enrolled children. Health Serv Res 2012 Oct; 47(5):1836-60. Select to access the abstract on PubMed®.

Mukamel DB, Weimer DL, Harrington C, Spector WD, et al. The effect of state regulatory stringency on nursing home quality. Health Serv Res 2012 Oct; 47(5):1791-1813. Select to access the abstract on PubMed®.

Memtsoudis SG, Mantilla CB, Parvizi J, Stundner O, Mazumdar M. Have bilateral total knee arthroplasties become safer? Clin Orthop Relat Res 2012 Sep 25. Select to access the abstract on PubMed®.

Zhang Y, Steinman MA, Kaplan CM. Geographic variation in outpatient antibiotic prescribing among older adults. Arch Intern Med 2012 Oct 22; 172(19):1465-71. Select to access the abstract on PubMed®.

Gurses AP, Kim G, Martinez EA, Marsteller J, Bauer L, Lubomski LH, Pronovost PJ, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. BMJ Qual Saf 2012 Oct; 21(10):810-18. Select to access the abstract on PubMed®.

Panepinto JA, Owens PL, Mosso AL, Steiner CA, et al. Concentration of hospital care for acute sickle cell disease-related visits. Pediatr Blood Cancer 2012 Oct; 59(4):685-9. Select to access the abstract on PubMed®.

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Page last reviewed March 2013
Internet Citation: Computerized Provider Order Entry Cuts Medication Error Likelihood in Half : Electronic Newsletter, Issue 370. March 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/370.html