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Computerized Order Entry and Bar-Coded Medication
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The Veterans Health Administration (VHA) applauds Nebeker and colleagues on their article titled "High Rates of Adverse Drug Events in a Highly Computerized Hospital."1 I support their conclusion that computerized patient order entry and bar code–assisted medication administration substantially mitigate some risks and sources of harm. To achieve the next significant reduction levels in adverse drug events, VHA systems must contain sophisticated decision support tools that offer suggestions for drug selection and dosing as well as the associated follow-up monitoring. The VHA is working hard to further propel the Department of Veterans Affairs (VA) along its patient safety–centered health care trajectory by aggressively pursuing improvements in those areas.
Since Nebeker and colleagues' data was collected in December 2000, the VHA has made great strides using performance measures, root cause analysis, human factors analysis and usability testing, and individual user software modification suggestions to improve its electronic health record and adverse . . . [Full Text of this Article]
AUTHOR INFORMATION
Jonathan B. Perlin, MD, PhD, MSHA
RELATED ARTICLES
Computerized Order Entry and Bar-Coded Medication—Reply
Jonathan R. Nebeker, John F. Hurdle, Charlene R. Weir, and Charles Lee Bennett
Arch Intern Med. 2006;166(11):1236.
EXTRACT
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High Rates of Adverse Drug Events in a Highly Computerized Hospital
Jonathan R. Nebeker, Jennifer M. Hoffman, Charlene R. Weir, Charles L. Bennett, and John F. Hurdle
Arch Intern Med. 2005;165(10):1111-1116.
ABSTRACT
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