OBJECTIVE To determine what "average" clinicians in organizations that were about to implement Computer-based Provider Order Entry (CPOE) were expecting to occur, we conducted an open-ended, semi-structured survey at three community hospitals. METHODS We created an open-ended, semi-structured, interview survey template that we customized for each organization. This interview-based survey was ...

Despite CPOE (Computerized Physician Order Entry) systems' potential to enhance patient safety by reducing medication errors, recent studies have cast some doubts on their role in error reduction. CPOE systems with poorly designed interfaces have proven to cause users dissatisfaction and to introduce new kind of errors in the ordering process, suggesting a threat instead of an enhancement of pa...

Medical error reporting systems have been in place for decades, with the hope that the collected reports would help us understand the nature of errors and prevent similar errors from occurring in the future. Among the various types of reporting systems, a voluntary system leaves the decision about whether to report a detected error or not to healthcare providers. Naturally, not every detected e...

Background: One way to reduce medical errors associated with physician orders is computerized physician order entry (CPOE) software. This study was conducted to compare prescription orders between 2 groups before and after CPOE implementation in a hospital.    Methods: We conducted a before-after prospective study in 2 intensive care unit (ICU) wards (as intervention and control ward...

Computerized physician order entry (CPOE) systems are designed to reduce medication errors. The best evidence to date demonstrates that patients who experience adverse drug events (ADEs) that are preventable have, on average, longer hospital lengths of stay (by approximately two to four-and-a-half days) and higher hospital costs (between $2,000 to almost $5,000). Researchers and practitioners h...

Introduction: In clinical practices, the use of information technology, especially computerized provider order entry (CPOE) systems, has been found to be an effective strategy to improve patient care. This study aimed to compare physicians’ and nurses’ views about the impact of CPOE on their workflow. Methods: This case study was conducted in 2012. The potential participants included all physic...

OBJECTIVE It is the objective of this article to provide a guide to health care providers adopting computerized prescriber order entry (CPOE) and to explain recent developments of important concepts and initiatives such as "meaningful use" that will have significant impact on successful implementation of CPOE. The specific goals are to discuss key concepts relating to the NEW ARRA/HITECH-EHR me...

While computerized physician order entry (CPOE) is still in its infancy as far as adoption goes (<10% of North American hospitals have implemented CPOE), most organizations are planning to utilize CPOE in the future. However, one of the major questions on most hospitals' minds is, "Will physicians accept and use CPOE?"Recently, KLAS set out to discover what progress has been made in CPOE penetr...

The purpose of these guidelines is to provide guidance to pharmacists in hospitals and health systems on planning for, implementing, and enhancing safe computerized providerorder-entry (CPOE) systems. To date, most CPOE guidelines have concentrated on the functionality required of a CPOE system, despite the fact that most CPOE system implementations occur using commercial systems whose function...

IMPORTANCE Medication computerised provider order entry (CPOE) has been shown to decrease errors and is being widely adopted. However, CPOE also has potential for introducing or contributing to errors. OBJECTIVES The objectives of this study are to (a) analyse medication error reports where CPOE was reported as a 'contributing cause' and (b) develop 'use cases' based on these reports to test ...