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Computerized provider order entry systems - Research imperatives and organizational challenges facing pathology
Andrew Georgiou1, Johanna Westbrook, Jeffrey Braithwaite
1Health Informatics Research & Evaluation Unit, Faculty of Health Sciences, The University of Sydney 1825, Sydney, Australia.
Journal of Pathology Informatics
|September 1, 2010
Summary
Computerized provider order entry (CPOE) systems offer pathology labs enhanced efficiency and patient safety. However, successful implementation of these information and communication technologies (ICT) depends heavily on context and requires multidisciplinary research for optimal outcomes.
Area of Science:
- Health Informatics
- Laboratory Medicine
- Information Systems
Background:
- Information and communication technologies (ICT) are transforming healthcare, including pathology services.
- Computerized provider order entry (CPOE) systems present opportunities for improved information management and decision support in pathology.
- Existing research highlights variability in CPOE system diffusion and implementation challenges.
Purpose of the Study:
- To identify key informatics challenges in the implementation and diffusion of CPOE systems in pathology laboratories.
- To explore the potential of CPOE systems to enhance pathology's role in patient care pathways.
- To analyze factors influencing the success or failure of CPOE system implementation.
Main Methods:
- Drawing on over 7 years of research experience investigating CPOE system implementation and diffusion.
- Analyzing the integration of information systems within healthcare settings.
- Examining the interplay between health professionals, departments, organizations, and information systems.
Main Results:
- CPOE systems can eliminate legibility issues, improve healthcare efficiency and safety, reduce duplicate orders, and minimize sample/order misidentification.
- Despite potential benefits, CPOE system diffusion is inconsistent and implementation is often problematic.
- System success is contingent upon specific contextual conditions and circumstances, indicating a 'one size does not fit all' approach.
Conclusions:
- Successful ICT implementation in pathology requires addressing complex, negotiated contextual factors.
- A multidisciplinary approach involving concerted efforts, robust research designs, sophisticated theories, and skilled teams is crucial for improving pathology services and patient care quality.
- Future research should focus on understanding and navigating the nuanced conditions surrounding ICT adoption in healthcare.
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