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Overdependence on technology: an unintended adverse consequence of computerized provider order entry.

Emily M Campbell, Dean F Sittig, Kenneth P Guappone, Richard H Dykstra, Joan S Ash

Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA.

Journal Article: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 02/2007;

Abstract

Computerized provider order entry (CPOE) and other clinical information systems can help reduce medical errors, promote practice standardization, and improve the quality of patient care. However, implementing these systems can result in unintended adverse consequences. Our multidisciplinary team used qualitative methods to gather and analyze data describing unintended adverse consequences related to CPOE adoption and use. Overdependence on technology emerged as one of nine major types we identified. Careful analysis of these data revealed three themes: 1) system downtime can create chaos when there are insufficient backup systems in place, 2) users have false expectations regarding data accuracy and processing, and 3) some clinicians cannot work efficiently without computerized systems. We provide recommendations for mitigating these important issues.

Source: PubMed

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Keywords

Careful analysis
 
clinical information systems
 
clinicians
 
Computerized provider order entry
 
data accuracy
 
issues
 
medical errors
 
patient care
 
unintended adverse consequences