OBJECTIVE To evaluate the impact of computerized provider order entry (CPOE) at the bedside on medical students training. MATERIALS AND METHODS We conducted a randomized cross-controlled educational trial on medical students during two clerkship rotations in three departments, assessing the impact of the use of CPOE on their ability to place adequate monitoring and therapeutic orders using a ...

Background: Computerised Physician Order Entry (CPOE) systems have the potential to lead to improvements in the quality and efficiency of health care delivery. However, CPOE systems have been found to be difficult and complex to implement and there has been an increased awareness of the need for rigorous evaluation techniques. To date pathology CPOE systems have not been widely researched or ev...

OBJECTIVE To examine the effect of interruptions and task complexity on error rates when prescribing with computerized provider order entry (CPOE) systems, and to categorize the types of prescribing errors. DESIGN Two within-subject factors: task complexity (complex vs simple) and interruption (interruption vs no interruption). Thirty-two hospital doctors used a CPOE system in a computer labo...

The research questions, strategies, and results of a six-year qualitative study of computerized physician order entry implementation (CPOE) at successful sites are reviewed over time. The iterative nature of qualitative inquiry stimulates a consecutive stream of research foci which, with each iteration, add further insight into the overarching research question. A multidisciplinary team of rese...

This simple article is an addendum to our previous study to handle underreporting issues in medical error reporting systems. If you are interested in the qualitative aspect of the reported errors, you may want to refer to it. If your interest resides more in the comparing of the numbers of error reports for various situations, while controlling for the under-reporting problem, this article offe...

Neuenschwander: Let me tell you how this roundtable discussion came about. I had a number of conversations with pharmacists at the June meeting about computerized prescriber order entry (CPOE). It occurred to me that, with Leapfrog pressing so hard for CPOE, hospitals are almost feeling guilty or embarrassed for not having CPOE or not being ready to have it. And yet when I would talk to pharmac...

While medications can improve patients' health, the process of prescribing them is complex and error prone, and medication errors cause many preventable injuries. Computer provider order entry (CPOE) with clinical decision support (CDS), can improve patient safety and lower medication-related costs. To realize the medication-related benefits of CDS within CPOE, one must overcome significant cha...

OBJECTIVE Medication errors are a major concern of health care professionals and medical institutions, especially errors involving children. Studies in adults have shown that computerized physician order entry (CPOE) systems reduce medication errors and adverse drug events (ADEs). The effect of CPOE implementation in a pediatric population has not been reported. The objective of this study was ...

The authors describe a pragmatic approach to the introduction of clinical decision support at the point of care, based on a decade of experience in developing and evolving Vanderbilt's inpatient "WizOrder" care provider order entry (CPOE) system. The inpatient care setting provides a unique opportunity to interject CPOE-based decision support features that restructure clinical workflows, delive...