OBJECTIVE The authors sought to analyze the impact of a computerized physician order entry (CPOE) order form for enoxaparin sodium injection (Lovenox) to reduce the daily cost of drug therapy by switching appropriate patients to once-daily enoxaparin administration. METHODS The study population included patients older than 18 years of age who had been treated with enoxaparin from September 1 ...

model [8], which extended the technology acceptance model by adding social influence and facilitating conditions as direct predictors of user acceptance. Social influence refers to perceived norms in the social environment concerning the use of a technology; and facilitating conditions refer to objective factors that facilitate the use of a technology, such as training, support and compatibilit...

OBJECTIVE In response to the landmark 1999 report by the Institute of Medicine and safety initiatives promoted by the Leapfrog Group, our institution implemented a commercially sold computerized physician order entry (CPOE) system in an effort to reduce medical errors and mortality. We sought to test the hypothesis that CPOE implementation results in reduced mortality among children who are tra...

BACKGROUND As demonstrated in several publications, low positive predictive value alerts in computerized physician order entry (CPOE) induce fatigue and may interrupt physicians unnecessarily during prescription of medication. Although it is difficult to increase the consideration of medical alerts by physician through an improvement of their predictive value, another approach consists to act o...

BACKGROUND Oncology has lagged in CPOE adoption due to the narrow therapeutic index of chemotherapy drugs, individualized dosing based on weight and height, regimen complexity, and workflows that include hard stops where safety checks are performed and documented. OBJECTIVES We sought to establish CPOE for chemotherapy ordering and administration in an academic teaching institution using a co...

BACKGROUND Small numbers of tests with pending results are documented in hospital discharge summaries leading to breakdown in communication and medical errors due to inadequate followup. OBJECTIVE Evaluate effect of using a computerized provider order entry (CPOE) system to enforce documentation of tests with pending results into hospital discharge summaries. METHODS We assessed the percent...

Medication Errors (MEs) as one of the most important medical errors in hospitals are common, expensive, and sometimes harmful to patients. Several strategies, such as Computerized Provider Order Entry (CPOE) and wristband barcoding are used for decreasing MEs. The role of new technologies is emphasized in the policies and planning in the health system in Iran. Worldwide, CPOE is a new technolog...

Remember how difficult it was to roll out enterprisewide orders and results, or group efforts to maximize adoption rates once CPOE went live? Who can forget the pain and suffering involved in bringing an e-MAR live? In their own ways, these were all Herculean efforts that transcended pure systems implementation and, ultimately, revealed themselves as lessons in human behavior and, in some cases...

OBJECTIVE To evaluate whether systematically developed clinical decision supports provide usability benefit or decreased cognitive workload with their use. METHODS Seven surgeons at a pediatric hospital at different levels of training (3 residents, 3 fellows, and 1 attending) were randomized to use either a historical control (ad hoc developed order set) or a systematically developed order se...