Patient Safety & Quality Improvement USMLE Step 1 Practice Question
A hospital transitions from a paper-based medication ordering system to computerized physician order entry (CPOE). Three months after implementation, a review shows that while transcription errors have decreased by 85%, new types of errors have emerged, including incorrect dose selection from dropdown menus and alert fatigue from excessive clinical decision support warnings. Which of the following best describes this phenomenon?
Answer choices
- ANear-miss events
- BLatent errors
- CActive errors
- DSentinel events
- ETechnology-induced errorsCorrect answer
- FSystem optimization failure
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