To the Editor: We believe that the study by
Dr Koppel and colleagues1 was misleading and
inaccurate. Many of the errors that they identified are actually related to
antiquated software and poor system integration. For example, the errors from
assumed dose information and the requirement to provide diluents illustrate
an old system that was originally built for use by pharmacies; currently available
systems list doses based on the most common prescribing patterns of the physicians.
Medication discontinuation failures occur only if the system is unable to
provide drug duplication or interaction alerts.
Levick D, Lukens H. Computerized Physician Order Entry Systems and Medication Errors. JAMA. 2005;294(2):178–181. doi:10.1001/jama.294.2.179-c
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