Ross Koppel (2005)
JAMA, 293(10), 1197.
DOI: https://doi.org/10.1001/jama.293.10.1197
Abstract. The landmark ethnographic study identifying 22 specific ways in which a widely deployed CPOE system facilitated medication errors, not through software bugs but through interface design that conflicted with clinical workflow. Established the patient-safety case for healthcare usability.
Tags: healthcare cpoe safety foundational