We designed a computerized physician order entry (CPOE) system specifically .... Electronic systems can assist clinicians ..... after electronic signature is on line.
台灣癌症醫誌 (J. Cancer Res. Pract.) 27(3),100-112, 2011 journal homepage:www.cos.org.tw/web/index.asp
Original Article Prevention of Chemotherapy Prescription Errors with Hematology/ Oncology Computerized Physician Order Entry System—Experience from a Medical Center Hui-Wen Liu1, Henry Hsin-Chung Lee2, 5, Chi-Lan Kao3, Ching-Ping Tseng4, Han-Tin Liu1, Chung-King Lin1, Yung-Chuan Sung1, 5* 1
Division of Hematology/Oncology, Department of Internal Medicine, Cathay General Hospital, Taipei, Taiwan Department of Surgery, Cathay General Hospital, Taipei, Taiwan 3 Department of Pharmacy, Cathay General Hospital, Taipei, Taiwan 4 Department of Information Technology, Cathay General Hospital, Taipei, Taiwan 5 School of Medicine, Fu Jen Catholic University, New Taipei, Taiwan 2
Abstract. Background: Chemotherapy is high-risk procedure in Hematology/Oncology practices. We designed a computerized physician order entry (CPOE) system specifically for prescribing chemotherapy in order to reduce prescription errors, thus improving patient safety. Materials and Methods: Healthcare failure mode and effects analysis (HFMEA) methodology were used to evaluate chemotherapy prescription and dispensing processes and several kinds of prescription errors were identified. A Java-based CPOE system for chemotherapy prescription was designed in cooperation with Cathay General Hospital’s Information Technology Department and has been on line since April 2008. Records prior to and after the CPOE system usage (April 2007 to December 2010) were collected to analyze the improvement of prescription errors. Results: After instigation of CPOE system in Cathay General Hospital in April 2008, 96.0% of chemotherapy orders were prescribed through this system as of 2010. The total prescription error rate was reduced from 4% before CPOE to 0.71% after CPOE. There were 54 errors in the CPOE group and 410 errors in the non-CPOE group (p
