Pharmacist interventions in electronic drug orders entered by prescribers

Design of a score to identify hospitalized patients at risk of drug‐related problems

“…Although this system may reduce medication errors, [46][47][48][49][50][51] lack of knowledge of all its options among physicians and the periodic incorporation of new medical staff could have led to persistence of the error rate throughout this study (data not shown), which was similar to that in other reports. 50,[52][53][54] Likewise, the factors independently associated with the risk of at least one DRP in hospitalized patients of advanced age were greater comorbidity, treatment with a higher number of drugs, and specific MDC and ATC groups, especially drugs acting on the cardiovascular system, hormone system, antimicrobial agents, ophthalmologic agents, and the "various" groups.…”

Drug-related problems in medical wards with a computerized physician order entry system

“…Moreover, Fair et al. (11) recently showed that the replacement of a manual order‐entry system by a CPOE generated new types of errors necessitating pharmacist intervention. Identified problems were: mistiming of medication; duplicate orders; a need to facilitate dispensing (i.e.…”

“…Despite this evidence, few investigations have evaluated the appropriateness of CPOE (10). Moreover, a recent study evaluating the replacement of a manual order‐entry system by a CPOE system showed that CPOE could generate new types of errors necessitating pharmacist interventions (11).…”

Duplicate Orders: An Unintended Consequence of Computerized provider/physician order entry (CPOE) Implementation

“…Another study reported that 14.8% of pharmacist interventions were performed because of duplicate orders. Interestingly, although both pharmacists and prescribers were presented with identical duplicate order warning screens, prescribers ignored these alerts more frequently than pharmacists did [29].…”