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 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...

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...

Converting to an electronic medical record (EMR) has been the health care system's collective goal for decades. Hundreds of EMRs have been developed during the last 30 years, but the likelihood of a patient having a largely electronic medical record in the near future remains slim. Adoption has been slow, and the physician time required to enter data is still daunting. And related technologies,...

Background Health information technology is a solution for medical error reduction through the implementation of Computerized Provider Order Entry (CPOE). Objective The aim of this study was to determine physicians' attitudes toward the implementation of CPOE. Methods This cross-sectional study was started in March 2017 and completed in June 2017. The study used a questionnaire to collect d...

Medication errors and adverse drug events (ADEs) are serious hazards for patients all over the world. Reports of the Institute of Medicine (IOM) estimate that a patient in an US-hospital faces at least one medication error per day [1, 2]. Most medication errors, and a majority of ADEs, occur during the prescription phase of the medication cycle [3 –5]. Amongst other approaches, the Institute of...

In this work we illustrate a case of fallability in the prescribing activity regarding discharged patients, conducted in the Cardiology Unit (CU) of the Hospital of S. Maria Annunziata, near Florence. The activity is analyzed using the theoretical framework of activity theory, an approach elaborated by the Soviet psychologists Leont’ev and Lurija, who developed the previous work done by Lev Vyg...

OBJECTIVE To examine the effect of interruptions and task complexity on error rates when prescribing with computerized provider order entry (CPOE) systems, and to categorize the types of prescribing errors. DESIGN Two within-subject factors: task complexity (complex vs simple) and interruption (interruption vs no interruption). Thirty-two hospital doctors used a CPOE system in a computer labo...

OBJECTIVE To determine the availability of computerized physician order entry (CPOE) and electronic medical record (EMR) systems in teaching and general hospitals in the Republic of Korea. 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 reg...