Related Experiment Video
Updated: Jan 13, 2026
E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
Comparing the effectiveness of a medication knowledge base product as designed with real-world hospital
Zoe Co1,2, Howard R Strasberg3, Bruce R Hanway3
1Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI 48104, United States.
Objectives:
We sought to compare and analyze the performance of a medication knowledge base (MKB) vendor's (Medi-Span) fully enabled, factory settings product to operational implementations in hospitals using the Leapfrog Group's Computerized Physician Order Entry (CPOE)/electronic health record (EHR) Evaluation Tool.
Materials And Methods:
We randomly selected a hospital that used the MKB vendor's product to complete the Leapfrog CPOE/EHR Evaluation Tool in 2018 and used this version of the tool to assess the MKB vendor's fully enabled product. Next, we retrospectively evaluated all hospitals, regardless of EHR vendor, that used the MKB vendor's product in the tool from 2017 to 2019. We fit a multivariate linear regression model with hospitals' overall scores as the dependent variable and EHR vendor as the independent variable.
Results:
The fully enabled version of the MKB vendor achieved a 94% overall score in the tool. The mean overall score across 358 hospitals from 2017 to 2019 ranged from 61.1% to 68.8%. Finally, the regression model revealed EHR Vendor B hospitals scored 3.6 percentage points lower (P = .01) than EHR Vendor A hospitals, but the model only explained 3.7% of the variation in overall scores.
Discussion:
The study revealed variations in the effectiveness of implementation and configuration of the MKB vendor's product across all EHR vendors at the hospital level.
Conclusion:
Our regression model found that EHR vendor had minimal effect on the overall tool scores. Therefore, EHR vendor is not nearly as important in the performance on the CPOE/EHR Evaluation Tool as the choices made in configuring the MKB vendor's product within a specific EHR.
Related Concept Videos
01:30Methods of Documentation VII: EMR
01:27Nursing Clinical Information System
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:30Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
01:23Methods of Documentation V: CBE
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
01:21Methods of Documentation III: PIE
01:15Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...