Computerized physician order entry is a required feature for hospitals seeking to demonstrate meaningful use of electronic medical record systems and qualify for federal financial incentives. A national sample of sixty-two hospitals voluntarily used a simulation tool designed to assess how well safety decision support worked when applied to medication orders in computerized order entry. The sim...

OBJECTIVE To describe the configuration and use of the computerized provider order entry (CPOE) system used for inpatient and outpatient care at the authors' facility. DESIGN Description of order configuration entities, use patterns, and configuration changes in a production CPOE system. MEASUREMENTS The authors extracted and analyzed the content of order configuration entities (order dialo...

Two different information systems with respect to their ability to afford clinicians' needs in the chemotherapy medication process were implemented in a large Dutch academic hospital. A commercially available Computerized Physician Order Entry (CPOE) system was not appreciated because clinicians believed that it could not support complex chemotherapy process. Later, a home-grown IT system with ...

Previous reviews have examined evidence of the impact of CPOE on medication errors, but have used highly variable definitions of "error". We attempted to answer a very focused question, namely, what evidence exists that CPOE systems reduce prescribing errors among hospital inpatients? We identified 13 papers (reporting 12 studies) published between 1998 and 2007. Nine demonstrated a significant...

Health information systems, such as Computerized Provider Order Entry (CPOE), are suggested to be used as an intervention for addressing errors that arise in the medication process. Nurses are involved in all stages of the medication process; however, little is known about the impact of using CPOE on nursing practice. A grounded theory approach was employed to answer the question of "How do nur...

OBJECTIVES The purpose of this study is four-fold. First, the hospitals' current level of computerized physician order entry (CPOE) adoption is reported; second, internal and external influence factors' roles in determining CPOE adoption rates are described; third, the future diffusion rate of CPOE systems in US hospitals is empirically predicted; finally, the current technology's state-of-the-...

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...

Information technology (IT) systems have been described as brittle and prone to automation surprises. Recent reports of information system failure, particularly computerized physician order entry (CPOE) systems, shows the result of such IT failure in actual practice. Such mismatches with healthcare work requirements require improvement to IT research and development. Resilience is the feature o...

Electronic health records are thought to improve quality of care; computerized provider order entry (CPOE) systems are believed to reduce medication errors. Yet, research suggests that implementation of new technologies revises existing sociotechnical systems and introduces unpredicted and unintended consequences, including the generation of new types of errors. We narrate development and imple...

OBJECTIVE To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting. DESIGN Ethnographic and interview data were collected by an interdisciplinary team over a 7 month period at four clinics. MEASUREMENTS Instances of unintended consequences were categorized using an expanded Diffusion of Innovations t...