Power changes have been identified as a frequent and unintended consequence of the implementation of computerized physician order entry (CPOE). However, no previous study has described the degree or direction of power change, or even confirmed that such a relationship exists. Using a validated, standardized instrument for measuring personal power, we collected data from 276 healthcare workers i...

U.S. hospitals are under continual pressure both to increase productivity and to improve quality through the use of Health Information Technology. This paper analyzes 3,187 US hospitals, using data reported to the American Hospital Association, to assess changes in productivity over a fiveyear period (2002-2006). The Malmquist Indices derived indicate that Total Factor Productivity (TFP) and Ef...

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...

This paper summarizes the foci, activities, methods, and results of a three-year research project. Using a mixed methods approach, the Physician Order Entry Team has identified and categorized the unintended consequences of computerized physician order entry (CPOE). After analyzing 380 examples of unintended adverse consequences, the team described in detail nine major types and conducted a nat...

Objective: The objective of this project was to measure efficiency gains in turnaround times with the implementation of a computerized provider order entry (CPOE) system. Methods: Preand post-CPOE turnaround times (TATs) were measured for orders placed for laboratory, radiology, and pharmacy. The pre-CPOE group was nonrandomized and included a convenience sample of 240 patients with a sample of...

Though hospitals managers wish to have a unified medication system, physicians continue double registration of prescriptions. The traditions of prescribing both electronically and on paper, as well as the power of the medical record are some of the disregarded elements when introducing a computerized physician order entry system (CPOE). The result is that the explicit goal to eliminate double r...

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...

As the Providence Health System is phasing in its Computerized Provider Order Entry (CPOE) system at the Providence Portland Medical Center, we conducted a study to demonstrate the effects of CPOE on medication turn-around time. Retrospectively, we tracked and compared medication orders that were placed via the existing paper-based system and the CPOE system. The results of this study coincide ...

In the current issue of this journal, Kaushal and colleagues present an exemplary, thorough analysis of the financial impact of installing computerized physician order entry (CPOE) in a major academic hospital. This excellent work quantifies quantifiable parameters clearly, estimates other parameters conservatively, and lists problems associated with measurement of the remaining small set of ot...