Several studies stressed that the introduction of CPOE applications deteriorates the doctor-nurse communication. But there are many factors that might influence communication behaviors, as for example the way these communications are organized. The present study aims at showing that the impact of a CPOE system on the cooperative activities can be controlled given that a good understanding of th...

OBJECTIVE Authors provide a perspective on factors leading to successful care provider order entry (CPOE) implementations. METHODS Viewpoint of authors supported by background literature review. RESULTS Authors review both benefits and challenges related to CPOE implementation using three guiding principles: (1) a clinical approach to clinical systems, which claims that CPOE implementation ...

OBJECTIVE To explore physicians' work practices in relation to their long-term use of a computerized physician order entry system (CPOE). DESIGN A cross-sectional qualitative study was conducted in four clinical units in two large Australian teaching hospitals. One hospital had used CPOE for over 10 years to order all clinical laboratory and radiology tests and view test results and the other...

Medication Errors (MEs) as one of the most important medical errors in hospitals are common, expensive, and sometimes harmful to patients. Several strategies, such as Computerized Provider Order Entry (CPOE) and wristband barcoding are used for decreasing MEs. The role of new technologies is emphasized in the policies and planning in the health system in Iran. Worldwide, CPOE is a new technolog...

BACKGROUND Computerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare. METHODS This systematic review aimed to assess the evidence of the impact of CPOE on medical-imaging services and patient outcomes. RESULTS Fourteen studies met the inclusion criteria, most of which (10/14) used a pre-/postintervention compa...

In our study, the adoption and implications of computerized physician order entry (CPOE) were investigated to answer the central research question, “What factors facilitate health care organizations receptivity to adopting and implementing CPOE?” After a pilot study a survey instrument was developed from constructs of perceived benefit, complexity, satisfaction with existing system and technica...

From a process perspective, the traditional “big bang” CPOE implementation is a big bear. CPOE deployments historically have taken a lot of time, staff and financial resources. Much of this has been driven by system requirements for practice standardization, as well as highly complex system builds and configurations, including creation of an order catalog and order sets. In a “big bang”, the en...

BACKGROUND Adverse drug events (ADEs) are a major cause of morbidity in hospitalised and ambulatory patients. Computerised provider order entry (CPOE) combined with clinical decision support systems (CDSS) are being widely implemented with the goal of preventing ADEs, but the effectiveness of these systems remains unclear. METHODS We searched the specialised database Agency for Healthcare Res...

OBJECTIVE This study evaluated the effect of a Computerized Physician Order Entry system with basic Clinical Decision Support (CPOE/CDSS) on the incidence of medication errors (MEs) and preventable adverse drug events (pADEs). DESIGN Interrupted time-series design. MEASUREMENTS The primary outcome measurements comprised the percentage of medication orders with one or more MEs and the percen...

Despite CPOE (Computerized Physician Order Entry) systems' potential to enhance patient safety by reducing medication errors, recent studies have cast some doubts on their role in error reduction. CPOE systems with poorly designed interfaces have proven to cause users dissatisfaction and to introduce new kind of errors in the ordering process, suggesting a threat instead of an enhancement of pa...