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CPOE.org presents the results of research by the Physician Order Entry Team (POET) at Oregon Health & Science University. The team is funded by a grant from the National Library of Medicine to study success factors for implementing Computerized Physician Order Entry (CPOE) as well as the unintended consequences of CPOE. This site also provides access to a collection of resources and links regarding CPOE. Computerized physician/provider order entry is defined as the computer system that allows direct entry of medical orders by the person with the licensure and privileges to do so. Directly entering orders into a computer has the benefit of reducing errors by minimizing the ambiguity of hand-written orders, but a much greater benefit is seen with the combination of CPOE and clinical decision support tools. Implementation of CPOE is being increasingly encouraged as an important solution to the challenge of reducing medical errors, and improving health care quality and efficiency. But use of CPOE is not yet widespread, in part because it has a reputation for being difficult to implement successfully. If you would like to learn more about our research and about the implementation of CPOE, START HERE. New Grant Support Clinical Decision Support When CPOE is coupled with clinical decision support (CDS), research at leading academic medical centers has shown that medical errors may decrease and costs often drop. However, CPOE with CDS is not available in the vast majority of community hospitals, which account for approximately 96% of all U.S. hospitals. The gap in health information technology implementation between community hospitals and teaching hospitals may have serious consequences for patient safety and rising health care costs. In prior research, we have shown that there is a complex web of technical, organizational, and contextual issues that are involved in successful CPOE implementations. Interestingly, many of the success factors are directly related to the CDS included with CPOE systems. Indeed, we have found that much of the value of CPOE systems comes from the addition of CDS. However, we've also found that CDS is frequently responsible for the unintended (and often adverse) consequences associated with CPOE implementation. In our current research we aim to answer the following questions:
Principal Investigator: Joan Ash, Ph.D. Previous Grant Support Unintended Consequences of Computerized Physician Order Entry While existing research suggests that much good can come from clinicians entering orders directly, errors or other unintended consequences related to the technology may arise. Through observations and interviews with key informants at multiple sites, this study looks at the unintended consequences of implementing an electronic order system. Principal Investigator: Joan Ash, Ph.D. Previous Conferences 2006 Menucha Conference 2004 Menucha Conference 2001 Menucha Conference |
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Last Modified: April 20, 2007 |