Abstract

Purpose: Although computerized Provider Order Entry (CPOE) and Clinical Decision Support (CDS) are essential elements of EHR order management thatr improve medication safety in many settings, CPOE has also been implicated in introducing or facilitating certain types of medication errors. Our institution, a free-standing children’s medical center, identified persistent post-EHR implementation and upgrade problems with duplicate medication errors in patients transferred from Emergency Department or Operating Room to inpatient floor. Analysis of the …

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