The December 2005 issue of the journal Pediatrics has a report that found a coincident increase in mortality after implementing a 'Commercially Sold' Computerized Physician Order Entry (CPOE) system. The increased mortality may have been due to delays in medication and IV administration in the ICU caused by the new system: '...Although CPOE technology holds great promise as a tool to reduce human error during health care delivery our unanticipated finding suggests that when implementing CPOE systems, institutions should continue to evaluate mortality effects, in addition to medication error rates, for children who are dependent on time-sensitive therapies.' The study notes that mortality rate studies on CPOE as opposed to adverse drug events(ADEs) studies has not been done before. The CPOE in the study DID reduce ADE's as expected.
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