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Trends in computerized provider order entry: 20-year bibliometric overview.

Laura Gosselin1,2, Romain Leguillon1,2,3, Laetitia Rollin3,4

  • 1Department of Digital Health, Rouen University Hospital, Rouen, France.

Frontiers in Digital Health
|July 27, 2023
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Summary

Computerized physician order entry (CPOE) use surged in the early 2000s but declined after 2009. This trend may reflect new digital health tools and alert fatigue among healthcare professionals.

Keywords:
CPOE (computerized physician order entry)CPOE (computerized prescriber order entry)bibliometricbibliometric analysismedical order entry systems

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Area of Science:

  • Health Informatics
  • Medical Informatics
  • Pharmacy
  • Pediatrics

Background:

  • Drug-related problems (DRPs) pose significant health and economic burdens.
  • Computerized physician order entry (CPOE) systems help mitigate DRPs by reducing medication errors.

Purpose of the Study:

  • Analyze 20-year academic publishing trends on CPOE.
  • Identify key topics, journals, and countries in CPOE research.
  • Describe the evolution of CPOE literature.

Main Methods:

  • Conducted a PubMed search for CPOE articles from 2003-2022.
  • Extracted and processed data using XML and a dedicated parser.
  • Analyzed publication volume, leading journals, countries, and disciplines.

Main Results:

  • Retrieved 2,946 articles from 623 journals.
  • Publication peaked between 2002-2006, declined after 2009.
  • USA dominated publications (51.39%), followed by France and Canada.
  • Medical informatics, pharmacy, and pediatrics were leading disciplines.

Conclusions:

  • CPOE publication trends show an initial rise followed by a post-2009 decline.
  • Emerging digital health tools and alert fatigue may explain the decline.
  • Future research should explore trends in medical informatics and decision support tools.