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Computerized Order Entry and Bar-Coded Medication—Reply
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In reply
Our report provides the first safety assessment of the VHA's inpatient medication systems in terms of patient outcomes.1 Data were collected in the year 2000 in the setting of the first-generation computerized patient record system and bar-coded medication administration. Our findings complement those of Koppel et al2 and others and highlight the need for evaluation that does not solely rely on process end points such as medication errors.
As noted by Perlin, the VHA has deployed an unparalleled breadth of personnel-based and computer-based interventions to promote medication safety. Since our study, the VHA has significantly upgraded these systems and is now developing next-generation systems as part of the Pharmacy Reengineering project. This project is applying more sophisticated decision support to the problem areas identified in our report: drug selection, dosing, and monitoring. In addition, this project will provide tools for identifying, mitigating, and documenting adverse drug events. As . . . [Full Text of this Article]
AUTHOR INFORMATION
Jonathan R. Nebeker, MS, MD;
John F. Hurdle, MD, PhD;
Charlene R. Weir, RN, PhD;
Charles Lee Bennett, MD, PhD, MPP
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