Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Computerized physician order entry and online decision support.

Jonathan A Handler1, Craig F Feied, Kevin Coonan

  • 1Department of Emergency Medicine, Northwestern University School of Medicine, Chicago, IL 60611, USA. jah505@northwestern.edu

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|November 6, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impact of Note-Extracted Blood Pressures on Measured Hypertension Control Performance.

Joint Commission journal on quality and patient safety·2025
Same author

A quantitative and qualitative assessment of differential privacy's ability to support collaborative research using a real-world data analysis.

JAMIA open·2025
Same author

Increasing access to care through digital health for the Medicaid population: a novel community case study.

Frontiers in digital health·2025
Same author

The feasibility of implementing a digital pregnancy and postpartum support program in the Midwestern United States and the association with maternal and infant health.

Preventive medicine reports·2025
Same author

Applications of mixed reality with medical imaging for training and clinical practice.

Journal of medical imaging (Bellingham, Wash.)·2024
Same author

Advanced Practice Nurse-Led Research: Challenges and Approaches to Digital Health Programs' Evaluation Using Big Data.

The Journal of nursing administration·2024
Same journal

Development and Validation of Machine Learning Models to Optimize Imaging and Referrals for Dizziness in the Emergency Department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

A Dizzying Number of Clinical Decision Rules … and Do We Need Them?

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Development and Validation of a Modified Sudbury Vertigo Risk Score for Predicting Central Causes of Dizziness in the Emergency Department.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Chronic Hypertension in the ED: Physician Response When Hypertension Is or Is not a Reason for the ED Visit.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

A Novel Pilot Program Using Patient Incentives to Address Emergency Department Boarding and Overcrowding: A Retrospective Observational Study.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
Same journal

Predicting Echocardiography Findings in Adults Presenting to the Emergency Department With Syncope: An External Validation of the ROMEO Score.

Academic emergency medicine : official journal of the Society for Academic Emergency Medicine·2026
See all related articles

Computerized physician order entry (CPOE) and decision support systems (DSS) offer potential benefits but require careful implementation in emergency departments (EDs). Recommendations focus on integration, usability, and evidence-based design to optimize patient care.

Area of Science:

  • Health Informatics
  • Clinical Decision Support
  • Emergency Medicine

Background:

  • Computerized physician order entry (CPOE) and decision support systems (DSS) are increasingly used in healthcare.
  • While CPOE/DSS can reduce some medical errors, their impact on emergency department (ED) workflow and patient safety is not fully understood.
  • Existing research often overlooks the unique demands of the ED environment.

Purpose of the Study:

  • To outline evidence-based recommendations for the successful implementation of CPOE and DSS in the ED.
  • To address the unknown net effect of these systems on ED operations and patient outcomes.
  • To guide future research and development of CPOE/DSS tailored for emergency care.

Main Methods:

  • A consensus process combining a review of published evidence with expert opinion.

Related Experiment Videos

  • Development of specific recommendations for system integration, usability, and functionality.
  • Emphasis on ED-specific design and outcome measurement.

    • Main Results:

    • Recommendations include seamless system integration, accessible online support, ED-specific design, and robust error-checking functionalities.
    • Suggested use of interruptive alerts only for critical events and vendor-independent customization of alert thresholds.
    • Advocacy for automated systems, passive data capture, and secure wireless technologies.

    Conclusions:

    • Successful CPOE and DSS implementation in the ED requires careful planning, integration, and user-centered design.
    • Further research is urgently needed to validate the effectiveness and safety of these systems in the ED setting.
    • Evidence-based decision-making and consideration of multiple quality-of-care factors are crucial for optimizing patient outcomes.