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...

BACKGROUND Computerized physician order entry (CPOE) systems are designed to increase safety and improve quality of care; however, their impact on efficiency in the ED has not yet been validated. This study examined the impact of CPOE on process times for medication delivery, laboratory utilization and diagnostic imaging in the early, late and control phases of a regional ED-CPOE implementation...

Computerized provider order entry (CPOE) systems facilitate safe, effective care for patients by insuring that clinical care directions are communicated in a timely, accurate, and complete manner. Integrating clinical decision support functions into CPOE systems enhances the value of the CPOE systems by incorporating contemporary knowledge and best practice recommendations into the clinical man...

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...

The purpose of these guidelines is to provide guidance to pharmacists in hospitals and health systems on planning for, implementing, and enhancing safe computerized providerorder-entry (CPOE) systems. To date, most CPOE guidelines have concentrated on the functionality required of a CPOE system, despite the fact that most CPOE system implementations occur using commercial systems whose function...

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-...

Research indicates that computerized physician order entry (CPOE) has the potential to reduce medication errors and adverse drug events and thus improve the quality of care. However, successfully implementing CPOE is difficult and expensive. An estimated five percent of hospitals now have CPOE, but many more are considering this investment. This report is designed to expand the information base...

PURPOSE Computerised physician order entry (CPOE) systems hold the promise of significant improvements to health care delivery and patient care. The implementation of such systems is costly and complex. The purpose of this paper is to review current evidence of the impact of CPOE on hospital pathology services. METHODS This paper presents a review of the literature (1990-August 2004) about CP...

OBJECTIVE The aim of this study was to estimate the costs of implementing computerized physician order entry (CPOE) systems in hospitals in a rural state and to evaluate the financial implications of statewide CPOE implementation. METHODS A simulation model was constructed using estimates of initial and ongoing CPOE costs mapped onto all general hospitals in Iowa by bed quantity and current c...

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...