OBJECTIVES To assess the impact of a CPOE system on medication-related communication of nurses and physicians. METHODS In six internal medicine wards of an academic medical center, two questionnaires were used to evaluate nurses' attitudes toward the impact of a paper-based medication system and then a CPOE system on their communication in medication-related-activities (medication work). The ...

INTRODUCTION For the most part, literature and research around the benefits of computerized physician order entry (CPOE) and electronic medication management (EMM) have focused on the reduction of adverse events and medication errors. While these are major anticipated benefits relating to patient safety, the University Health Network (UHN) discovered that there are other unexpected benefits to ...

BACKGROUND Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of computerized physician order entry (CPOE) and intensive care unit physician st...

BACKGROUND The Health Information Technology for Economic and Clinical Health (HITECH) Act subsidizes implementation by hospitals of electronic health records with computerized provider order entry (CPOE), which may reduce patient injuries caused by medication errors (preventable adverse drug events, pADEs). Effects on pADEs have not been rigorously quantified, and effects on medication errors ...

OBJECTIVE To identify and summarize the requirements of an optimized CPOE application for pediatric intensive care. METHODS We analyzed the medication process and its documentation in the pediatric and neonatal intensive care units (PICU/NICU) of two university hospitals using workflow analysis techniques, with the aim of implementing computer-supported physician order entry (CPOE). RESULTS...

OBJECTIVE To reduce the probability of failure in the oral chemotherapy order, review and administration process and to reduce oral chemotherapy-related prescribing errors intercepted by clinical pharmacists prior to reaching the patient. DESIGN A before-and-after cohort study. SETTING A 719-bed multidisciplinary tertiary care institution with a pediatric division and an outpatient cancer c...

OBJECTIVES To determine what information can be helpful in prioritizing and presenting medication alerts according to the context of the clinical situation. To assess the usefulness of different ways of delivering medication alerts to the user. DESIGN An international Delphi study with two quantitative rounds. 69 researchers with expertise in computerized physician order entry (CPOE) systems ...

Introduction: In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians’ and nurses’ views about the impact of CPOE on their workflow. Methods: This case study was conducted in 2012. The potential participants included all physic...

The adoption of EMR systems has been argued to lead to physicians “upcoding” their patients to inflate insurance reimbursements. In this paper, we examine if the adoption of the Clinical Physician Order Entry (CPOE) system is associated with an increase in the complexity of the patients' case mix that hospitals report (termed "upcoding"). We make use of a staggered roll-out of the Recovery Audi...