Impact of electronic prescribing in a hospital setting: a process-focused evaluation - PubMed (original) (raw)
Comparative Study
Impact of electronic prescribing in a hospital setting: a process-focused evaluation
Thomas R Cunningham et al. Int J Med Inform. 2008 Aug.
Abstract
Objective: To evaluate effects of a natural CPOE implementation in a hospital setting and inform the efficacy of using CPOE rather than traditional paper medication orders.
Design: A multiple-baseline, quasi-experimental study of a naturally occurring CPOE intervention, with a non-equivalent control site.
Measurements: Compliance with medication-ordering protocols and time to first dose of antibiotics.
Results: Medication orders placed using CPOE were significantly more compliant than paper-based medication orders, and first doses of antibiotics were delivered significantly faster when ordered with CPOE than when placed using the standard paper-based system (p<.01).
Conclusion: Findings support the use of CPOE and justify the need for interventions to increase CPOE adoption and consistent use among physicians.
Similar articles
- Impact of a computerized physician order entry system on nurse-physician collaboration in the medication process.
Pirnejad H, Niazkhani Z, van der Sijs H, Berg M, Bal R. Pirnejad H, et al. Int J Med Inform. 2008 Nov;77(11):735-44. doi: 10.1016/j.ijmedinf.2008.04.001. Epub 2008 Jun 2. Int J Med Inform. 2008. PMID: 18514020 - Impact of a computerized physician order-entry system.
Stone WM, Smith BE, Shaft JD, Nelson RD, Money SR. Stone WM, et al. J Am Coll Surg. 2009 May;208(5):960-7; discussion 967-9. doi: 10.1016/j.jamcollsurg.2009.01.042. J Am Coll Surg. 2009. PMID: 19476871 - The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry.
Bobb A, Gleason K, Husch M, Feinglass J, Yarnold PR, Noskin GA. Bobb A, et al. Arch Intern Med. 2004 Apr 12;164(7):785-92. doi: 10.1001/archinte.164.7.785. Arch Intern Med. 2004. PMID: 15078649 - CPOE system design aspects and their qualitative effect on usability.
Khajouei R, Jaspers MW. Khajouei R, et al. Stud Health Technol Inform. 2008;136:309-14. Stud Health Technol Inform. 2008. PMID: 18487749 Review. - Computerized provider order entry and patient safety.
Lehmann CU, Kim GR. Lehmann CU, et al. Pediatr Clin North Am. 2006 Dec;53(6):1169-84. doi: 10.1016/j.pcl.2006.09.006. Pediatr Clin North Am. 2006. PMID: 17126689 Review.
Cited by
- Electronic Ordering System Improves Postoperative Pain Management After Total Knee or Hip Arthroplasty.
Urban MK, Chiu T, Wolfe S, Magid S. Urban MK, et al. Appl Clin Inform. 2015 Sep 23;6(3):591-9. doi: 10.4338/ACI-2014-12-RA-0114. eCollection 2015. Appl Clin Inform. 2015. PMID: 26448800 Free PMC article. - Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry (CPOE) Order Sets: Impact on Hospitalized Children with Acute Asthma Exacerbation.
Jacobs BR, Hart KW, Rucker DW. Jacobs BR, et al. Appl Clin Inform. 2012 Feb 8;3(1):52-63. doi: 10.4338/ACI-2011-01-RA-0002. Print 2012. Appl Clin Inform. 2012. PMID: 23616900 Free PMC article. - Medication administration quality and health information technology: a national study of US hospitals.
Appari A, Carian EK, Johnson ME, Anthony DL. Appari A, et al. J Am Med Inform Assoc. 2012 May-Jun;19(3):360-7. doi: 10.1136/amiajnl-2011-000289. Epub 2011 Oct 28. J Am Med Inform Assoc. 2012. PMID: 22037889 Free PMC article. - Implementation of an Electronic Medication Management System in a large tertiary hospital: a case of qualitative inquiry.
Vaghasiya MR, Penm J, Kuan KKY, Gunja N, Liu Y, Kim ED, Petrina N, Poon S. Vaghasiya MR, et al. BMC Med Inform Decis Mak. 2021 Jul 27;21(1):226. doi: 10.1186/s12911-021-01584-w. BMC Med Inform Decis Mak. 2021. PMID: 34315447 Free PMC article. - Interventions to improve antibiotic prescribing practices for hospital inpatients.
Davey P, Marwick CA, Scott CL, Charani E, McNeil K, Brown E, Gould IM, Ramsay CR, Michie S. Davey P, et al. Cochrane Database Syst Rev. 2017 Feb 9;2(2):CD003543. doi: 10.1002/14651858.CD003543.pub4. Cochrane Database Syst Rev. 2017. PMID: 28178770 Free PMC article. Review.
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical