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Computerized provider order entry: strategies for successful implementation.

Sharon Jones1, Jacqueline Moss

  • 1St. Vincent's Hospital, Birmingham, Alabama, USA.

The Journal of Nursing Administration
|April 8, 2006
PubMed
Summary
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Computerized provider order entry (CPOE) can prevent 522,000 annual medication errors. Nurses can help overcome physician resistance to CPOE adoption, improving patient safety.

Area of Science:

  • Health Informatics
  • Patient Safety
  • Clinical Workflow

Background:

  • Medication errors pose a significant threat to patient safety, with an estimated 522,000 serious errors occurring annually in the US.
  • Computerized provider order entry (CPOE) systems have the potential to drastically reduce these errors.
  • Clinician resistance, particularly among physicians, impedes the widespread adoption and effective implementation of CPOE systems.

Purpose of the Study:

  • To identify strategies for nurses to facilitate the adoption of CPOE systems.
  • To explore the role of nurses in overcoming clinician resistance to CPOE implementation.
  • To enhance organizational acceptance of CPOE during the transition process.

Main Methods:

  • The study outlines strategies based on the understanding of clinical workflows and interprofessional dynamics.

Related Experiment Videos

  • Focuses on leveraging the unique position of nurses to bridge communication and adoption gaps.
  • Emphasizes proactive engagement and support during CPOE implementation.
  • Main Results:

    • Nurses can play a pivotal role in mitigating resistance to CPOE adoption.
    • Effective strategies can smoothen the transition to CPOE, improving system acceptance.
    • Increased organizational acceptance leads to better CPOE utilization and enhanced patient safety.

    Conclusions:

    • Nurses are uniquely positioned to champion CPOE implementation due to their understanding of physician workflows.
    • Proactive nursing involvement is crucial for successful CPOE adoption and maximizing its safety benefits.
    • Implementing CPOE effectively through nursing support can significantly reduce medication errors and improve healthcare outcomes.