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Does Computerized Physician Order Entry Benefit from Dynamic Structured Data Entry? A Quasi-Experimental Study.
George Linn1,2, Yung-Hsiang Ying3, Koyin Chang4
1Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
BMC Medical Informatics and Decision Making
|November 28, 2018
Summary
Dynamic structured data entry (DSDE) significantly improves computerized physician order entry (CPOE) efficiency, saving clinicians time and enhancing medical record detail. This advanced method offers substantial benefits over traditional free text entry (FTE) in hospital outpatient settings.
Area of Science:
- Health Informatics
- Medical Technology
- Clinical Efficiency
Background:
- Computerized physician order entry (CPOE) and electronic medical records (eMR) are integral to modern healthcare.
- Free text entry (FTE) is the predominant CPOE method in Taiwan.
- Dynamic structured data entry (DSDE) is an emerging alternative gaining traction in Taiwanese hospitals.
Purpose of the Study:
- To compare the efficiency and productivity of DSDE versus FTE for CPOE.
- To evaluate time savings and content richness in medical records between DSDE and FTE.
Main Methods:
- A quasi-experimental study was conducted in a Taiwanese hospital's gynecology outpatient department.
- Trained actor patients participated in trials using both DSDE and FTE methods.
- Statistical analysis included Shapiro-Wilk, Shapiro-Francia, and paired t-tests.
Main Results:
- DSDE usage resulted in an average of 97% time savings compared to FTE.
- Medical records created with DSDE were 55% more abundant and detailed.
- Time saved per clause entry was 133% greater with DSDE than FTE.
Conclusions:
- DSDE is a more efficient and productive method for CPOE in hospital outpatient settings.
- Transitioning eMR systems to DSDE format offers advantages for both clinicians and patients.
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