BACKGROUND Computerized provider order entry (CPOE) systems can help hospitals improve health care quality, but they can also introduce new problems. The extent to which hospitals experience unintended consequences of CPOE, which include more than errors, has not been quantified in prior research. OBJECTIVE To discover the extent and importance of unintended adverse consequences related to CP...

BACKGROUND Computerized Provider Order Entry (CPOE) can improve patient safety, quality and efficiency, but hospitals face a host of barriers to adopting CPOE, ranging from resistance among physicians to the cost of the systems. In response to the incentives for meaningful use of health information technology and other market forces, hospitals in the United States are increasingly moving toward...

OBJECTIVE Although computerized physician order entry (CPOE) may decrease errors and improve quality, hospital adoption has been slow. The high costs and limited data on financial benefits of CPOE systems are a major barrier to adoption. The authors assessed the costs and financial benefits of the CPOE system at Brigham and Women's Hospital over ten years. DESIGN Cost and benefit estimates of...

Wrong-patient errors from inadvertent menu selections while using computerized provider order entry (CPOE) systems could have fatal consequences. This study investigated whether the manipulation of CPOE interface design could improve healthcare providers’ ability to recognize patient selection errors and also decrease the time to error recognition. Using a 2x2 design, 120 participants were rand...

As part of broader effort to identify success factors for implementing computerized physician order entry(CPOE), factors specific to the ambulatory setting were investigated in the field at Kaiser Permanente Northwest. A multidisciplinary team of five qualitative researchers spent seven months at four clinics conducting observations, interviews, and focus groups. The team analyzed the data usin...

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...

Computerized physician order entry (CPOE) systems are designed to reduce medication errors. The best evidence to date demonstrates that patients who experience adverse drug events (ADEs) that are preventable have, on average, longer hospital lengths of stay (by approximately two to four-and-a-half days) and higher hospital costs (between $2,000 to almost $5,000). Researchers and practitioners h...