In his letter, Dr Graber points out that new technology may result in unexpected and deleterious consequences. We agree. Moreover, CPOE can be difficult to implement, as demonstrated by the Cedars Sinai experience.1 However, there is scant evidence to date that CPOE with CDSS results in increased error rates, and there are much data to the contrary.2
Kaushal R, Shojania KG, Bates DW. The Safety of Computer-Based Medication Systems—Reply. Arch Intern Med. 2004;164(3):340. doi:10.1001/archinte.164.3.340
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