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Medication decision support has emerged as a valuable tool for reducing errors and adverse drug events. This is particularly true when it is embedded within Computerized Physician Order Entry (CPOE) for use at the point of care. Yet despite the growing popularity of CPOE and the positive impact it can have on medication error rates, hospitals continue to be vexed by adverse drug events. One primary reason for this is physician resistance, caused in large part by the belief that CPOE systems create more work and that traditional paper based ordering is faster. In some cases, hospitals found that physician resistance was so significant an obstacle that they "abandoned implementation plans, fearing that physician resistance could escalate to a point of physician rebellion.
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