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Related Experiment Video

Updated: Jun 13, 2026

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order

Christopher A Longhurst¹, Layla Parast, Christy I Sandborg

¹Department of Pediatrics, Stanford University School of Medicine, Palo Alto, California, USA. clonghurst@lpch.org

|May 5, 2010

Summary

This summary is machine-generated.

Implementing computerized physician order entry (CPOE) significantly reduced hospital-wide mortality rates in a children's hospital. This study shows CPOE can improve patient safety and outcomes.

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Area of Science:

Pediatric Healthcare
Health Informatics
Patient Safety Research

Background:

Computerized physician order entry (CPOE) systems have shown mixed results regarding hospital mortality rates.
Previous studies have not demonstrated significant reductions in hospital-wide mortality following CPOE implementation.
There is a need to evaluate CPOE's impact on patient mortality in specialized pediatric settings.

Purpose of the Study:

To assess the effect of CPOE implementation on the hospital-wide mortality rate.
To determine if CPOE can lead to improved patient outcomes in an academic children's hospital.

Main Methods:

A historical control cohort study was conducted at a 303-bed academic children's hospital.
Data included 80,063 nonobstetric inpatient discharges before CPOE implementation (Jan 2001-Oct 2007) and 17,432 after (Nov 2007-Apr 2009).
A locally modified, commercially available electronic medical record system supporting CPOE was implemented in November 2007.

Main Results:

The mean monthly adjusted mortality rate decreased by 20% post-CPOE implementation (P = .03).
This reduction suggests approximately 36 fewer deaths over the 18-month postimplementation period.
The findings indicate a statistically significant decrease in hospital-wide mortality.

Conclusions:

Implementing a CPOE system, even a locally modified commercial version, can significantly reduce hospital-wide mortality rates.
This study provides evidence for the positive impact of CPOE on patient safety and outcomes in pediatric care.
The results support the broader adoption of CPOE systems in healthcare settings to improve mortality metrics.