Home
POET Members
Research
Recommendations
Tools
Publications
CPOE Bibliography
CDS Bibliography
Useful Links
DMICE
Site Map
Calendar

Contact Information:
POET/Joan Ash, Ph.D.
Oregon Health & Science University
Department of Medical Informatics & Clinical Epidemiology
3181 S.W. Sam Jackson Park Road
Mailcode: BICC
Portland, OR 97239-3098
   Welcome to CPOE.org

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.

POET is very pleased to welcome Deborah Cohen, Ph.D., the newest member of our team.

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.


Current 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:

  1. What are barriers and facilitators that affect the implementation and use of different types of CDS in community hospitals?
  2. What strategies have community hospitals used to strengthen the facilitators and weaken the barriers to CDS implementation?

Principal Investigator: Joan Ash, Ph.D.
Co-Investigators: Dean Sittig, Ph.D., Carmit McMullen, Ph.D.
Collaborator: Vishnu Mohan, M.D.
Special Consultants: Adam Wright, Ph.D., Deborah Cohen, Ph.D.
Generously supported by a grant from the National Library of Medicine, National Institutes of Health, LM006942-07


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.
Co-principal Investigators: Dean Sittig, Ph.D, Richard Dykstra, M.D.
Generously supported by a grant from the National Library of Medicine, National Institutes of Health, RO1 LM006942


Previous Conferences

2010 Menucha Conference
May 5-7, 2010
Menucha Conference Center
Portland, Oregon
2008 Menucha Conference
May 14-16, 2008
Menucha Conference Center
Portland, Oregon
2006 Menucha Conference
May 4 and 5, 2006
Menucha Conference Center
Portland, Oregon
2004 Menucha Conference
April 8 and 9, 2004
Menucha Conference Center
Portland, Oregon
2001 Menucha Conference
May 10 and 11, 2001
Menucha Conference Center
Portland, Oregon


Last Modified: April 28, 2011