Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system

YY Han, JA Carcillo, ST Venkataraman, RSB Clark… - …, 2005 - publications.aap.org
Objective. In response to the landmark 1999 report by the Institute of Medicine and safety
initiatives promoted by the Leapfrog Group, our institution implemented a commercially sold
computerized physician order entry (CPOE) system in an effort to reduce medical errors and
mortality. We sought to test the hypothesis that CPOE implementation results in reduced
mortality among children who are transported for specialized care. Methods. Demographic,
clinical, and mortality data were collected of all children who were admitted via interfacility …