Exploring the unintended consequences of computerized physician order entry.

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

Oregon Health & Science University, School of Medicine, Portland, OR 97239-3098, USA.

Journal Article: Studies in health technology and informatics 02/2007; 129(Pt 1):198-202.

Abstract

This paper summarizes the foci, activities, methods, and results of a three-year research project. Using a mixed methods approach, the Physician Order Entry Team has identified and categorized the unintended consequences of computerized physician order entry (CPOE). After analyzing 380 examples of unintended adverse consequences, the team described in detail nine major types and conducted a national survey in the U.S. to discover how hospitals recognize and deal with unintended consequences. With the assistance of a panel of experts, the team identified strategies for managing unintended adverse consequences and outlined contents of a toolkit for CPOE implementers for addressing them.

Source: PubMed

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Keywords

computerized physician order entry
 
contents
 
CPOE implementers
 
experts
 
foci
 
hospitals
 
mixed methods approach
 
paper summarizes
 
Physician Order Entry Team
 
three-year research project
 
unintended adverse consequences
 
unintended consequences