Related Experiment Video
Updated: Jun 23, 2026
06:28
E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Computerized provider order entry system--does it support the inter-professional medication process? Lessons from a
Z Niazkhani1, H Pirnejad, H van der Sijs
1Zahra Niazkhani, Institute of Health Policy and Management, Erasmus University Medical Center, PO Box 1738, 3000 DR Rotterdam, The Netherlands. z.niazkhani@erasmusmc.nl
Methods of Information in Medicine
|May 19, 2009
Summary
Implementing a computerized provider order entry (CPOE) system significantly altered inter-professional workflow in medication processes, leading to task reassignments and fragmented information. Careful system design is crucial for effective integration of healthcare professional tasks.
Area of Science:
- Health Informatics
- Medical Workflow Analysis
Background:
- Computerized Provider Order Entry (CPOE) systems are increasingly adopted in healthcare settings.
- Understanding the impact of CPOE on inter-professional collaboration is essential for optimizing medication processes.
Purpose of the Study:
- To evaluate the effects of a CPOE system on the inter-professional workflow within the medication process.
- To identify challenges and benefits associated with CPOE implementation in a hospital setting.
Main Methods:
- Conducted 23 semi-structured interviews with physicians, nurses, and pharmacists.
- Collected and analyzed handwritten and system-generated documents.
- Analyzed data based on task division, information flow, and task coordination.
Main Results:
- CPOE reorganized work procedures, leading to both advantages and disadvantages in inter-professional workflow.
- Observed task reassignment and reallocation of expertise.
- Identified fragmentation of patient medication information across paper, electronic records, and professional domains.
- Noted limited system support for temporal task coordination and building mutual understanding of medication plan changes.
- Healthcare professionals often bypassed the system or added extra tasks to integrate workflows.
Conclusions:
- CPOE implementation presents significant workflow integration challenges.
- System design or redesign must prioritize the integration of tasks, information, and expertise across professional groups.
- Addressing these insights can improve future CPOE system implementations and enhance medication process efficiency.
Related Concept Videos
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
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:
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:
01:30Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:26Methods of Documentation II: POMR
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:20Integrated Healthcare System
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
01:21Methods of Documentation III: PIE
Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations: