Alternative computer mouse trigger designs in computerized physician order entry (CPOE) system to reduce clinicians’ drop-down menu selection errors

Wu, Xue-Bing; Wu, Changxu; Dong, Wei; Xiao, Yan

doi:10.1016/j.ergon.2019.01.007

Cited by 5 publications

(1 citation statement)

References 27 publications

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“…55 For instance, selection errors can be minimized by shortening the drop-down menu and/or enhancing some of the system functionalities, such as adding new mouse trigger designs, safeguards, colors, bolded fonts, and tall-man lettering. 46,106,107 In another study, a group of researchers 108 postulated that patient selection errors could be reduced by manipulating CPOE interface design, such as highlighting the selected item after the selection is made, and providing visual feedback of related information. In addition, building a more sophisticated CDSS that is capable of checking free text and providing dosing support features and indication-based alerts can help minimize CPOE-related UCs.…”

Section: Resultsmentioning

confidence: 99%

Computerized provider order entry–related medication errors among hospitalized patients: An integrative review

Elshayib

Pawola

2020

Health Informatics J

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The Institute of Medicine estimates that 7,000 lives are lost yearly as a result of medication errors. Computerized physician and/or provider order entry was one of the proposed solutions to overcome this tragic issue. Despite some promising data about its effectiveness, it has been found that computerized provider order entry may facilitate medication errors. The purpose of this review is to summarize current evidence of computerized provider order entry -related medication errors and address the sociotechnical factors impacting the safe use of computerized provider order entry. By using PubMed and Google Scholar databases, a systematic search was conducted for articles published in English between 2007 and 2019 regarding the unintended consequences of computerized provider order entry and its related medication errors. A total of 288 articles were screened and categorized based on their use within the review. One hundred six articles met our pre-defined inclusion criteria and were read in full, in addition to another 27 articles obtained from references. All included articles were classified into the following categories: rates and statistics on computerized provider order entry -related medication errors, types of computerized provider order entry -related unintended consequences, factors contributing to computerized provider order entry failure, and recommendations based on addressing sociotechnical factors. Identifying major types of computerized provider order entry -related unintended consequences and addressing their causes can help in developing appropriate strategies for safe and effective computerized provider order entry. The interplay between social and technical factors can largely affect its safe implementation and use. This review discusses several factors associated with the unintended consequences of this technology in healthcare settings and presents recommendations for enhancing its effectiveness and safety within the context of sociotechnical factors.

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