BACKGROUND Adverse drug events (ADEs) are a major cause of morbidity in hospitalised and ambulatory patients. Computerised provider order entry (CPOE) combined with clinical decision support systems (CDSS) are being widely implemented with the goal of preventing ADEs, but the effectiveness of these systems remains unclear. METHODS We searched the specialised database Agency for Healthcare Res...

OBJECTIVE This study evaluated the effect of a Computerized Physician Order Entry system with basic Clinical Decision Support (CPOE/CDSS) on the incidence of medication errors (MEs) and preventable adverse drug events (pADEs). DESIGN Interrupted time-series design. MEASUREMENTS The primary outcome measurements comprised the percentage of medication orders with one or more MEs and the percen...

BACKGROUND: Implementation of Computerized Provider Order Entry (CPOE) can fail or meet high levels of user resistance for a variety of reasons, including lack of attention to users' needs and the significant workflow changes induced and required by CPOE. End-user satisfaction is a critical factor in IT implementation. OBJECTIVE: The goal of this study was to identify criteria to select a valid...

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...

Healthcare information systems (IS) such as Computerized Physician Order Entry (CPOE) systems have the potential to improve efficiency of healthcare, lower costs, and reduce medication errors. However, previous studies have also described various issues arising from the use of these systems. A key issue pertains to physician resistance to CPOE, causing low usage or the abandonment of system imp...

BACKGROUND Potentially inappropriate medication (PIM) use in hospitalized older patients is common. Our objective was to determine whether a computerized provider order entry (CPOE) drug warning system can decrease orders for PIMs in hospitalized older patients. METHODS We used a prospective before-and-after design among patients 65 years or older admitted to a large, urban academic medical c...

OBJECTIVE To identify types of clinical unintended adverse consequences resulting from computerized provider order entry (CPOE) implementation. DESIGN An expert panel provided initial examples of adverse unintended consequences of CPOE. The authors, using qualitative methods, gathered and analyzed additional examples from five successful CPOE sites. METHODS Using a card sort method, the aut...

Because both computerized physician order entry (CPOE) systems and mobile technologies such as handheld devices have the potential to greatly impact the industry's future, IT vendors, hospitals, and clinicians are simply merging them into a logical convergence--"CPOE on a handheld"--with an expectation of full functionality on all platforms: computer workstations, rolling laptops, tablet PCs, a...

Computerized physician order entry (cpoe) has been shown to significantly improve chemotherapy safety by reducing the number of prescribing errors1–7. Since the early 2000s, research has established a knowledge base for successful cpoe implementation and ongoing use. Some of the critical success factors include the design and usability of the cpoe system8–12, standardization of the ordering pro...

BACKGROUND Overutilization of stress ulcer prophylaxis (SUP) in the intensive care unit (ICU) is common. Acid-suppressive therapies routinely used for SUP are best reserved for patients with greatest risk of clinically important bleeding as they have been associated with nosocomial pneumonia, Clostridium difficile infection and increased hospital cost. OBJECTIVE The primary objective was to r...