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Meaningful use of computerized prescriber order entry.
David Classen1, David W Bates, Charles R Denham
1University of Utah Medical School, University of Utah Salt Lake City, Salt Lake City, Utah, USA.
Journal of Patient Safety
|December 2, 2011
Summary
Computerized prescriber order entry (CPOE) adoption remains low, despite evidence of improved medication safety. New legislation and "meaningful use" criteria may increase CPOE implementation for better patient care.
Area of Science:
- Health Informatics
- Medication Safety
- Healthcare Policy
Background:
- Computerized Prescriber Order Entry (CPOE) systems aim to enhance medication safety and healthcare quality.
- Despite potential benefits, CPOE adoption rates in US hospitals remain notably low.
- Preventable adverse drug events continue to affect hospital patients, highlighting the need for improved prescribing practices.
Purpose of the Study:
- To guide healthcare providers in adopting CPOE systems.
- To explain "meaningful use" criteria and their impact on CPOE implementation.
- To update evidence on CPOE efficacy and safe practices in alignment with new healthcare legislation.
Main Methods:
- Systematic evaluation of the latest scientific studies on CPOE.
- Review of medication safety issues, CPOE impact, and efficacy evidence.
- Analysis of the 2010 National Quality Forum CPOE safe practice updates.
Main Results:
- The scientific evidence supporting CPOE's positive impact on medication safety and care quality is growing.
- The National Quality Forum updated its CPOE safe practice guidelines for 2010.
- Hospital adoption of CPOE in the US remains critically low, with one study reporting only 6% utilization.
Conclusions:
- Low CPOE adoption persists despite evidence of its benefits in reducing adverse drug events.
- The HITECH Act and the "meaningful use" concept are expected to influence CPOE adoption rates.
- Harmonizing CPOE safe practices with EHR meaningful use criteria is crucial for successful implementation.
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