Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors

摘要

The objective of this report is to describe the methods used in and lessons learned from a research study that evaluated prescriptions for medication errors prior to the implementation of an ambulatory computerized prescriber order entry (ACPOE) system in a community-based, integrated health system. Several aspects of the study are described: practice setting, research team, project scope and study design, data elements, database creation, data sources, study methods, evaluation methods, refinements, and current project status. Lessons learned are summarized. Focused attention to these aspects, a priori, resulted in the collection of data that have been used to characterize the epidemiology of medication errors at baseline. By repeating these same methods post-ACPOE implementation, the impact of the ACPOE system on medication errors will be determined. The methods used to measure the baseline rate of medication errors provided useful results and proved practical in a practitioner-based organization. This design can be replicated in similar organizations desiring to evaluate the impact of an ACPOE system on medication errors.