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Updated: Jun 10, 2026

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

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Computerized physician order entry: lessons learned from the trenches.

Anne Ramirez¹, Debra Carlson, Carey Estes

¹Mission Children's Hospital, Asheville, NC 28801, USA. anne.ramirez@msj.org

Neonatal Network : NN

|July 16, 2010

Summary

Implementing computer physician order entry (CPOE) requires careful planning and teamwork. Nurse-driven teams are key to a successful CPOE launch, with ongoing communication and adaptive training essential for smooth adoption.

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E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

E-Patient Counseling Trial (E-PACO): Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy

Published on: August 1, 2019

Area of Science:

Healthcare Informatics
Clinical Implementation Science

Background:

Computer Physician Order Entry (CPOE) implementation presents significant challenges.
Successful CPOE adoption relies heavily on unit-level nursing teams.
Effective planning and teamwork are crucial for navigating the CPOE learning curve.

Purpose of the Study:

To describe the planning, training, and implementation process of CPOE in a Neonatal Intensive Care Unit (NICU).
To identify pitfalls and lessons learned during CPOE go-live and daily operations.
To highlight the importance of nurse-driven initiatives and communication in CPOE success.

Main Methods:

A descriptive case study approach detailing the experiences of a NICU during CPOE implementation.
Focus on the nurse-driven team's role in planning, building, and training.
Emphasis on communication strategies between unit nurses and clinical informatics teams.

Main Results:

Ongoing communication between nursing and informatics teams is vital.
Self-paced, realistic training modules significantly ease the transition to CPOE.
Post-implementation issue identification and rapid problem-solving mechanisms are critical.

Conclusions:

Nurse-driven CPOE implementation requires robust planning and continuous support.
Effective communication channels and adaptive training are essential for overcoming CPOE challenges.
Proactive identification and resolution of issues post-implementation are key to sustained CPOE success.