Lessons From "Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry System"

Sittig et al discusses the lessons that can learned from the article entitled "Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry Systems" by Han et al. The article is unique in that an adverse change in mortality rate was associat...

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Bibliographic Details
Published in:Pediatrics (Evanston) 2006-08, Vol.118 (2), p.797-801
Main Authors: Sittig, Dean F, Ash, Joan S, Zhang, Jiajie, Osheroff, Jerome A, Shabot, M. Michael
Format: Article
Language:English
Subjects:
Administration
Causality
Causes of
Child Mortality
Child, Preschool
Computerized physician order entry
Female
Health aspects
Hospital administration
Hospital information systems
Hospital/clinic administration software
Hospitals
Humans
Infant
Infant Mortality
Information storage and retrieval systems
Male
Medical errors
Medical Order Entry Systems
Medical practice software
Mortality
Patient Care
Patients
Pediatrics
Physician practice management software
Prescription drugs
Safety
Safety and security measures
United States
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Summary:Sittig et al discusses the lessons that can learned from the article entitled "Unexpected Increased Mortality After Implementation of a Commercially Sold Computerized Physician Order Entry Systems" by Han et al. The article is unique in that an adverse change in mortality rate was associated in time with clinical information systems (CIS) and computerized physician order entry (CPOE) implementation. One may question the study's methodology and conclude that causality was not proven, yet the assignment of CPOE to a severity-adjusted odds ratio of 3.71 for patient death simply cannot be ignored. Regardless of what was or was not proven, if only one unnecessary death were caused by the implementation process or CIS and CPOE modules, that is one too many.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.2005-3132