Related Experiment Video
Updated: Aug 24, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
The evolution and implementation of a pediatric computerized order entry system: a case study
Cathleen Glynn1, Ronald E Kleinman, Sandra Smith
1Department of Pediatrics, MGH/Mass Hospital for Children, USA.
Insights
Implementing a pediatric Computerized Provider Order Entry (CPOE) system requires careful planning. Success hinges on strong leadership, clinician engagement, clear communication, and dedicated support to meet unique pediatric patient needs.
Area of Science:
- Health Informatics
- Pediatric Care
- Clinical Workflow Optimization
Background:
- Implementing Computerized Provider Order Entry (CPOE) systems presents significant challenges in healthcare settings.
- Pediatric patient populations introduce unique complexities due to age and weight variations, demanding tailored CPOE solutions.
Purpose of the Study:
- To outline the critical success factors for designing and implementing a pediatric-focused CPOE system.
- To share lessons learned from a real-world CPOE implementation in a pediatric setting.
Main Methods:
- Qualitative analysis of experiences during a pediatric CPOE implementation.
- Identification of key elements contributing to successful system deployment.
Main Results:
- High-level sponsorship is crucial for driving CPOE adoption.
- Early and continuous clinician involvement is essential for effective system design and usability.
- Robust communication strategies and comprehensive, round-the-clock support are vital for overcoming implementation hurdles.
Conclusions:
- Successful pediatric CPOE implementation depends on collaborative efforts and strategic planning.
- Addressing the specific needs of pediatric patients requires a dedicated approach to CPOE design and rollout.
- Achieving project milestones and realizing implementation goals necessitates teamwork and shared objectives.
Abstract:
Implementing CPOE is not an easy undertaking. Designing and implementing a pediatric-focused CPOE presented a unique challenge because of the age and weight considerations inherent with a pediatric patient population. Through the experiences involved in an implementation, key elements of a successful implementation include high-level sponsorship, involvement of clinicians up-front in the process, excellent communication and round-the-clock support. When everyone works together with common objectives, milestones are met, and goals are realized.
Related Concept Videos
Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods of Documentation VII: EMR
Guidelines and Strategies for Safe Computer Charting
Maintain Confidentiality and Security:
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Methods of Documentation III: PIE