CPOE systems: success factors and implementation issues.

Adventist Healthcare, MD, USA.
Journal of healthcare information management: JHIM 02/2004; 18(1):36-45.
Source: PubMed

ABSTRACT The medication error dilemma has come to the forefront of most hospitals' improvement agendas. The most often cited solution to the problem has been computerized provider order entry (CPOE) systems. These systems have significant potential to improve errors associated with illegibility as well as inappropriate drug use and dosing. On the other hand, CPOE system implementation is fraught with barriers that impede acceptance and use of these systems. Knowing what strategies have proven successful and what upfront analysis is required can help increase the chances of success and ultimately improve the quality of patient care.

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    ABSTRACT: INTRODUCTION Computerized Physician Order Entry (CPOE) systems are a specific type of health information technology, which is the application of science and technology to healthcare. Health information technology systems pro-vide real-time access to medical information to coordi-nate patient medical care and also help to ensure the completeness of medical information entry. Figure 1 illustrates the wide range of health information technol-ogy utilized in clinical practice and changes over time in their prevalence of use. 1 As one example of health infor-mation technology, electronic medical record (EMR) systems are employed to improve the efficiency and management of patients' medical records, including clini-cal and administrative data. Similar to EMR systems, CPOE systems are a readily accessible technological system and facilitate the completeness of medical docu-mentation. CPOE systems, however, focus specifically on improving the safety and completeness in the order-ing step of the medication use process. 2
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