computer application that supports the electronic entry by physicians of patient orders for diagnostic and treatment services, such as medications, laboratory and other tests. It compares new orders against standards for dosing, checks for allergies or interactions with other drugs and flags potential problems. Thus, CPOE goes well beyond replacing paper orders with electronic ones — it makes r...

For a successful design and deployment of computerized provider order entry (CPOE) systems which support medical workflow, thorough understanding of workflow and its changes after the CPOE implementation are crucial. For this purpose, this PhD study incorporates insights from multiple disciplines and uses mixed research methods to study a CPOE implementation case at a Dutch hospital. The study ...

Attention to contextual factors is essential to the conduct of high quality informatics field research. This is particularly true when the research focus is on complex information technology innovations like computerized provider order entry (CPOE) systems. From a field research perspective, CPOE systems are considered an organizational intervention. They are designed, implemented and used with...

Physician-centered design for computerized physician order entry (CPOE) systems overlooks the collaborative, multi-professional nature of medical work. We analyzed the compatibility of the conceptual model of inter-professional workflow underlying a CPOE system with real-life workflow in the medication ordering and administration process. We conducted twenty-three semi-structured interviews wit...

From a process perspective, the traditional “big bang” CPOE implementation is a big bear. CPOE deployments historically have taken a lot of time, staff and financial resources. Much of this has been driven by system requirements for practice standardization, as well as highly complex system builds and configurations, including creation of an order catalog and order sets. In a “big bang”, the en...

Treatment recommendation systems aim to providing clinical decision supports, e.g. with integration of Computerized Physician Order Entry (CPOE). One of the most significant issue is the quality of recommendations which needs to be quantified, before getting the acceptance from physicians. In computer science, such evaluations are typically performed by applying appropriate metrics that provide...

Computerized provider order entry (CPOE) systems allow physicians to prescribe patient services electronically. In hospitals, CPOE essentially eliminates the need for handwritten paper orders and achieves cost savings through increased efficiency. The purpose of this research study was to examine the benefits of and barriers to CPOE adoption in hospitals to determine the effects on medical erro...