BACKGROUND Computerized provider order entry (CPOE) systems are implemented in various clinical contexts of a hospital. To identify the role of the clinical context in CPOE use, we compared the impact of a CPOE system on the medication process in both non-surgical and surgical specialties. METHODS We conducted a qualitative study of surgical and non-surgical specialties in a 1237-bed, academi...

Background Up to 38% of inpatient medication errors occur at the administration stage. Although they reduce prescribing errors, computerized provider order entry (CPOE) systems do not prevent administration errors or timing discrepancies. This study determined the degree to which CPOE medication orders matched actual dose administration times. METHODS At a 658-bed academic hospital with CPOE bu...

INTRODUCTION There is limited literature on the effect of computerized physician order entry (CPOE) on mortality. The objective of our study was to determine if there was a change in mortality among critically ill patients presenting to the emergency department (ED) after the implementation of a CPOE system. METHODS This was a retrospective study of all critically ill patients in the ED durin...

Several studies stressed that the introduction of CPOE applications deteriorates the doctor-nurse communication. But there are many factors that might influence communication behaviors, as for example the way these communications are organized. The present study aims at showing that the impact of a CPOE system on the cooperative activities can be controlled given that a good understanding of th...

OBJECTIVE Authors provide a perspective on factors leading to successful care provider order entry (CPOE) implementations. METHODS Viewpoint of authors supported by background literature review. RESULTS Authors review both benefits and challenges related to CPOE implementation using three guiding principles: (1) a clinical approach to clinical systems, which claims that CPOE implementation ...

OBJECTIVE To explore physicians' work practices in relation to their long-term use of a computerized physician order entry system (CPOE). DESIGN A cross-sectional qualitative study was conducted in four clinical units in two large Australian teaching hospitals. One hospital had used CPOE for over 10 years to order all clinical laboratory and radiology tests and view test results and the other...

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...

BACKGROUND Computerized provider order entry (CPOE) systems have been strongly promoted as a means to improve the quality and efficiency of healthcare. METHODS This systematic review aimed to assess the evidence of the impact of CPOE on medical-imaging services and patient outcomes. RESULTS Fourteen studies met the inclusion criteria, most of which (10/14) used a pre-/postintervention compa...

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...

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...