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Related Experiment Videos

Evaluation and certification of computerized provider order entry systems.

David C Classen1, Anthony J Avery, David W Bates

  • 1University of Utah School of Medicine, 561 East Northmont Way, Salt Lake City, UT 84103, USA. Dclassen@fcg.com

Journal of the American Medical Informatics Association : JAMIA
|November 2, 2006
PubMed
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Computerized physician order entry (CPOE) systems are increasingly scrutinized for real-world effectiveness. New evaluation methods are emerging to ensure CPOE implementation achieves desired benefits and avoids errors.

Area of Science:

  • Health Informatics
  • Medical Technology Evaluation
  • Clinical Workflow Optimization

Background:

  • Computerized physician order entry (CPOE) systems are used in hospitals and clinics for electronic order writing.
  • CPOE is often integrated with clinical decision support, enhancing its value.
  • Existing studies on CPOE impact primarily used homegrown systems at exemplar sites.

Purpose of the Study:

  • To evaluate the effectiveness of commercial CPOE systems in real-world healthcare settings.
  • To identify implementation approaches that achieve desired benefits and mitigate new errors.
  • To inform ongoing vendor evaluation and certification processes for CPOE.

Main Methods:

  • Review of studies assessing CPOE impact on cost, safety, and quality.

Related Experiment Videos

  • Analysis of evidence from commercial CPOE system implementations.
  • Examination of new evaluation initiatives, including vendor capabilities and flight simulation tools.

    • Main Results:

    • Some commercial CPOE implementations do not replicate prior positive results and may introduce new errors.
    • New initiatives focus on vendor capabilities and effective implementation strategies.
    • Certification processes and employer-led evaluations are increasing scrutiny on CPOE performance.

    Conclusions:

    • Real-world performance of CPOE systems requires rigorous evaluation beyond initial studies.
    • Effective implementation strategies are crucial for realizing the full potential of CPOE.
    • Increased scrutiny and evaluation methods aim to improve CPOE system performance and patient outcomes.