Related Experiment Video
Updated: Jun 12, 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
Organizational considerations for the implementation of a computerized physician order entry
Sylvia Pelayo1, Marie-Catherine Beuscart-Zephir
1Université Lille Nord de France, INSERM CIC IT Lille, UDSL, EA 2694, CHU Lille, F-59000, Lille, France. sylvia.pelayo@univ-lille2.fr
Studies in Health Technology and Informatics
|June 15, 2010
Summary
Computerized Provider Order Entry (CPOE) systems do not inherently harm doctor-nurse communication. Effective workflow understanding during CPOE implementation is key to maintaining cooperative activities and communication quality.
Area of Science:
- Health Informatics
- Medical Communication
- Human-Computer Interaction
Background:
- Previous research suggests Computerized Provider Order Entry (CPOE) systems negatively impact doctor-nurse communication.
- Communication behaviors are influenced by various organizational and workflow factors, not solely technology.
Purpose of the Study:
- To investigate whether the implementation of CPOE systems impacts cooperative doctor-nurse activities.
- To demonstrate that the effects of CPOE on communication can be managed through optimized workflow understanding.
Main Methods:
- Analysis of doctor-nurse communication during the medication use process.
- Evaluation of communication content and duration in relation to CPOE system implementation.
Main Results:
- The study found no significant impact of the CPOE system on cooperative activities.
- Dialog duration and content between doctors and nurses remained consistent regardless of CPOE presence.
- Organizational factors and workflow integration were more influential than the technology itself.
Conclusions:
- CPOE systems do not inherently deteriorate doctor-nurse communication.
- Successful CPOE integration depends on a thorough understanding and support of cooperative workflows.
- The impact of health informatics tools on clinical communication is context-dependent and manageable.
Related Concept Videos
01:18Guidelines and Strategies for Safe Computer Charting
The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Maintain Confidentiality and Security:
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,...
01:21Methods 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:
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:18Methods of Documentation I: Source-Oriented Records
Source-oriented records, or SOR, are medical record-keeping organized by the data source. The SOR system was first developed in the mid-1900s to organize the growing patient data in hospitals and other healthcare facilities.
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following: