Unintended consequences of hard stops in CPOE

In this single institution study, the implementation of a hard stop to medication ordering (of concomitant warfarin and trimethoprim-sulfamethoxazole) resulted in significant reductions in the co-ordering of the 2 medications, but also resulted in clinically significant delays in appropriate medication use in 4 patients. The risk and benefit of hard stops, and anticipating unintended consequences, should be thoroughly investigated before the implementation of CPOE hard stops (abstract).

Danielle Scheurer

Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.

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