Can Uttilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events
This is the Second Review of this Article: Creating Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events
The HITECH act was put into place in 2009, with goals to make drastic improvement to healthcare, cut down on cost as well as decrease medical errors. Once institutions implemented the use of EHR’s they would be eligible to receive financial incentives. Meaningful use has been defined as using certified EHR’s in a meaningful way so that health care may improve. The Meaningful Use program uses three stages, and all these stages take advantage of the Computerized Provider Order Entry system (CPOE). The CPOE lets physicians prescribe patient services electronically. The purpose of the study was to examine hospitals using CPOE’s to correct medical errors and examine the effect this system had on hospitals when the introduced.
During the first stage, literature reviews and case studies were evaluated and analyzed. Articles that described barriers, benefits and meaningful use were used between 2005 and 2014. Only articles that were written in the US were used in the analysis. The data from the articles were analyzed once they were showed be relevant to the research being conducted.
The Results showed that many benefits can be gained from adopting and implementing CPOE systems. Accessibility to patient records and charts drastically improved, allowing physicians to work from home and have access to data if needed. The switch also showed a drastic decrease in medical errors and also improved coordination in the workplace. CPOE’s also were able to coexist with clinical decision support systems (CDSS) give the user access to better tools used in caring for patients. However the main barrier discovered during these cases were the cost implementing the systems. Implementing the new system may have been easy for bigger institutions to establish, but not the smaller communicates.
The study showed that implementing the CPOE systems have great benefits to institutions that use them. The CPOE allows clinicians to perform their duties correctly, and also reduce the amount of errors, reduce the amount of duplicate testing and save institutions money.
In addition, CPOE in conjunction with CDS allows clinicians to make better decisions for patient's treatment. It is important for physicians to combine clinical experience with evidence based knowledge for better patient care.
- Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014). Can Utilizing a Computerized Provider Order Entry (CPOE) System Prevent Hospital Medical Errors and Adverse Drug Events? Perpectives in Health Information Management, 11(Fall), 1--9. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4272436/pdf/phim0011-0001b.pdf