Related Experiment Video
Updated: Jun 2, 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
Is computerized physician order entry use associated with a decrease in hospital resource utilization in hospitals
Ronald J Teufel1, Abby Swanson Kazley, William T Basco
1Department of Pediatrics, Medical University of South Carolina, Charleston, SC 29425, USA. teufelr@musc.edu
Journal of Medical Systems
|April 20, 2011
Summary
Computerized Physician Order Entry (CPOE) systems in pediatric hospitals do not significantly reduce costs per case. Hospitals may need other motivations, like financial incentives, to adopt CPOE for medication safety.
Area of Science:
- Health Informatics
- Pediatric Healthcare Management
- Health Economics
Background:
- Computerized Physician Order Entry (CPOE) implementation incurs substantial hospital costs.
- Evidence linking CPOE to improved efficiency and reduced resource utilization in pediatrics is limited.
- Medication safety is a key driver for CPOE adoption, but financial benefits remain uncertain.
Purpose of the Study:
- To investigate the relationship between hospital CPOE adoption and resource utilization per case in pediatric inpatient settings.
- To determine if CPOE implementation leads to lower hospital costs in children's healthcare.
- To provide benchmark data for future evaluations of CPOE's financial impact.
Main Methods:
- Retrospective cross-sectional study design.
- Linear regression analysis to assess the association between CPOE use and resource utilization.
- Analysis focused on inpatient pediatric cases.
Main Results:
- Hospitals utilizing CPOE did not demonstrate significantly lower costs per case compared to non-CPOE hospitals.
- No significant reduction in hospital resource utilization per case was observed with CPOE adoption.
- High implementation and maintenance costs of CPOE present financial barriers.
Conclusions:
- The study found no direct financial benefit in terms of reduced cost per case associated with CPOE adoption in pediatric hospitals.
- Hospitals may require additional incentives, particularly financial ones, to drive CPOE adoption in children's healthcare.
- Further research and clear financial incentives are needed to encourage CPOE implementation for medication safety and potential efficiency gains.
Related Concept Videos
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,...
01:26Methods 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.
01:18Guidelines 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:
01:30Health 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:
01:21Methods 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:
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...