BACKGROUND Computerized physician order entry (CPOE) systems are recommended to improve patient safety and outcomes. However, their effectiveness has been questioned. Our objective was to evaluate the impact of CPOE implementation on the outcome of critically ill patients. METHODS This was an observational before-after study carried out in a 21-bed medical and surgical intensive care unit (IC...

OBJECTIVES To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE. METHODS A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to partic...

Medical error reporting systems have been in place for decades, with the hope that the collected reports would help us understand the nature of errors and prevent similar errors from occurring in the future. Among the various types of reporting systems, a voluntary system leaves the decision about whether to report a detected error or not to healthcare providers. Naturally, not every detected e...

As the Providence Health System is phasing in its Computerized Provider Order Entry (CPOE) system at the Providence Portland Medical Center, we conducted a study to demonstrate the effects of CPOE on medication turn-around time. Retrospectively, we tracked and compared medication orders that were placed via the existing paper-based system and the CPOE system. The results of this study coincide ...

Computerized physician order entry (CPOE) eliminates illegible handwriting, reduces medical errors, and improves patient care. The administration, medical staff, nursing, and health information systems departments of a community teaching hospital cooperated to achieve organization-wide use of its CPOE system.

confronting healthcare organizations in their quest to encourage enthusiastic adoption of CPOE and clinical decision support (CDS) at the point of care. If too many alerts are triggered when medications or tests are being order, the likelihood is very high physicians will eventually tune out or actively override even high severity alerts. Alert fatigue can also cause physicians to bypass or rem...

BACKGROUND Computerized provider order entry (CPOE) systems are implemented in various clinical contexts of a hospital. To identify the role of the clinical context in CPOE use, we compared the impact of a CPOE system on the medication process in both non-surgical and surgical specialties. METHODS We conducted a qualitative study of surgical and non-surgical specialties in a 1237-bed, academi...

Background Up to 38% of inpatient medication errors occur at the administration stage. Although they reduce prescribing errors, computerized provider order entry (CPOE) systems do not prevent administration errors or timing discrepancies. This study determined the degree to which CPOE medication orders matched actual dose administration times. METHODS At a 658-bed academic hospital with CPOE bu...

Design: A combined mail and telephone survey of 283 hospitals. Measurements: The surveys assessed the availability of CPOE and EMRs in the hospitals, as well as inducement, participation, and saturation regarding CPOE use by physicians. Results: A total of 122 (43.1%) hospitals responded to the survey. The complete form of CPOE was available in 98 (80.3%) hospitals. The use of CPOE was mandator...

INTRODUCTION There is limited literature on the effect of computerized physician order entry (CPOE) on mortality. The objective of our study was to determine if there was a change in mortality among critically ill patients presenting to the emergency department (ED) after the implementation of a CPOE system. METHODS This was a retrospective study of all critically ill patients in the ED durin...