Comment: "e-Iatrogenesis": The Most Critical Unintended Consequence of CPOE and other HIT

In Reply: In reply to: "e-Iatrogenesis: The most critical consequence of CPOE and other HIT"

Clinical decision support systems.

Clinical decision support (CDS) systems link patient data with an electronic knowledge base in order to improve decision-making and computerised physician order entry (CPOE) is a requirement to set up electronic CDS. The medical informatics literature suggests categorising CDS tools into medication dosing support, order facilitators, point-of-care alerts and reminders, relevant information disp...

Technological iatrogenesis: the manifestation of inadequate organizational planning and the integration of health information technology.

The Institute of Medicine (IOM) views Health Information Technology (HIT) as an essential organizational prerequisite for the delivery of safe, reliable, and cost-effective health services. However, HIT presents the proverbial double-edged sword in generating solutions to improve system performance while facilitating the genesis of novel iatrogenic problems. Incongruent organizational processes...

Negative CPOE Attitudes Correlate with Diminished Power in the Workplace

Power changes have been identified as a frequent and unintended consequence of the implementation of computerized physician order entry (CPOE). However, no previous study has described the degree or direction of power change, or even confirmed that such a relationship exists. Using a validated, standardized instrument for measuring personal power, we collected data from 276 healthcare workers i...

The Extent and Importance of Unintended Consequences Related to Computerized Provider Order Entry

Objective: To discover the extent and importance of unintended adverse consequences related to CPOE implementation in U.S. hospitals. Design, Setting, and Participants: Building on a prior qualitative study involving fieldwork at five hospitals, we developed and then administered a telephone survey concerning the extent and importance of CPOE-related unintended adverse consequences to represent...