Recommendations for monitoring and evaluation of in-patient Computer-based Provider Order Entry systems: results of a Delphi survey.

Dean F Sittig, Emily Campbell, Ken Guappone, Richard Dykstra, Joan S Ash

Department of Medical Informatics, Northwest Permanente, PC, Portland, OR, USA.

Journal Article: AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 02/2007;

Abstract

A survey of 20 clinical informaticists with experience in implementing Computer-based Provider Order Entry (CPOE) systems revealed the lack of easily accessible measurements of success. Using a Delphi approach, the authors, together with a group of CPOE experts, selected eight key CPOE-related measures to assess system availability, use, benefits, and e-Iatrogenesis. We suggest collecting these measures on a widespread/national basis would be wise stewardship and result in tighter feedback about both clinician workflow and patient safety. Establishing reliable benchmarks against which new implementations and existing systems can be compared will enhance organizations' ability to effectively manage and hence to realize the full benefits of their CPOE implementations.

Source: PubMed

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Keywords

20 clinical informaticists
 
accessible measurements
 
clinician workflow
 
Computer-based Provider Order Entry
 
CPOE
 
CPOE experts
 
CPOE implementations
 
Delphi approach
 
Establishing reliable benchmarks
 
key CPOE-related measures
 
systems
 
tighter feedback
 
widespread/national basis