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computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients Crit Care Med 2005; 33: 110-114 11 Mekhjian HS Kumar RR Kuehn L et al Immediate benefits realized following implementation of physician order entry at an academic medical center J Am Med Inform Assoc 2002; 9: 529-539 12

  • Do CPOE systems allow personalization?

    Some CPOE systems allow personalization wherein a user can save their preferences for a given order set, as in saving the choice of enoxaparin as a “pre-checked” option. There are however risks to allowing this, especially if extensive decision-support rules are not in place.

  • Does computer provider order entry reduce mortality?

    Computer Provider Order Entry (CPOE) improves clinician-patient care by reducing the number of medication errors in hospitalized patients. CPOE, however, has not been shown to reduce mortality significantly. It is associated with increased time for completion of some workflows.

  • Does computerized provider order entry increase efficiency in residential aged care homes?

    Computerized provider order entry has shown efficiency gain in residential aged care homes (Elliott et al. 2016; Subramanian et al. 2007 ), because no paper-based prescription forms need to be faxed among nurses, physicians, and pharmacists who work in different locations (Elliott et al. 2016 ).

  • What are the benefits of computerized provider order entry (CPOE)?

    Computerized provider order entry (CPOE), especially when coupled with clinical decision support (CDS), can lead to improved safety, quality and efficiency of care, by preventing medication errors, avoiding redundant testing and promoting the use of evidence-based treatments, among other mechanisms [ 1 – 5 ].

Dominant Content Areas

In the analysis of the 24 interviews and observations of the 5 study settings, five themes emerged as having particular relevance to the process of CPOE implementation: Governance, Preparation, Support, Perceptions and Consequences. The lessons learned from these five domains, along with representative quotations from participants, are summarized i

Governance Matters

While none of the interviewees used the word “governance”, all hospital leaders, and a majority of the physicians, pharmacists and nurses, alluded to the importance of thoughtful composition and successful functioning of committees and working groups to establish goals, timelines and policies. All emphasized the importance of multi-disciplinary rep

Preparation and Advance Planning

Preparation and advance planning for CPOE implementation were emphasized across all five sites by physicians, nurses, pharmacists and the leaders of the organizations. This preparation took various forms, ranging from planning meetings among implementation work groups to organized training sessions for staff in basic computer skills as well as in t

Support

Perhaps the most consistent factor cited as helpful in facilitating the transition to CPOE implementation was the ample presence of live, in-person support – usually from specially trained nurses, physicians, or pharmacists labeled as “superusers” – during the period immediately following the “go-live” date. “Even after it (CPOE) got implemented on

Perceptions

Managing the prevailing perceptions of the institution emerged as an integral element to the success of implementation. In this context, “perceptions” refers to the attitudes and mood of the individuals and groups of individuals in each setting prior to and following CPOE implementation. At all five hospitals, every nurse, pharmacist and physician

Consequences

Interviewees provided insights into consequences of CPOE implementation from two perspectives. Looking back, they described anticipated consequences and how those anticipations influenced implementation. As suggested above, at each hospital there existed some degree of anxiety or fear about CPOE implementation. This anxiety was often described gene

12. Meaningful Use: Computerized Provider Order Entry (CPOE)

12. Meaningful Use: Computerized Provider Order Entry (CPOE)

Unit 4: Computerized Provider Order Entry (CPOE) Lecture B

Unit 4: Computerized Provider Order Entry (CPOE) Lecture B

Computerized Provider Order Entry (CPOE) provided by Medical Database Inc

Computerized Provider Order Entry (CPOE) provided by Medical Database Inc

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