Difference between revisions of "Computerized Provider Order Entry Adoption: Implications for Clinical Workflow"
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== Background == | == Background == | ||
| − | This article describes some of the impact that Computerized Provider Order Entry [[CPOE|(CPOE)]] can have on clinical workflow. Physicians use CPOE to order things such as labs, medications, and imaging. | + | This article describes some of the impact that Computerized Provider Order Entry [[CPOE|(CPOE)]] can have on clinical workflow. Physicians use CPOE to order things such as labs, medications, and imaging. CPOEs can reduce costs, reduce errors, promote standardization, and reduce redundancy in orders. However, they can also negatively impact clinical workflow. <ref name="CPOE">Campbell, E.M., R.N., M.S., Guappone, K.P., M.D., PhD, Sittig, D.F., PhD, Dykstra, R.H., M.D., M.S., Ash, J.S., M.B.A., PhD (2009). Computerized Provider Order Entry Adoption: Implications for Clinical Workflow. Journal of General Internal Medicine, 24(1), 21-26. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607519/</ref> |
== Methods == | == Methods == | ||
| − | + | Researchers visited 5 hospitals over a period of three years to collect data. Data was collected through interviews and by shadowing physicians, nurses, pharmacists, and administrators. Clinicians were asked to report unintended consequences related to CPOEs. | |
== Results == | == Results == | ||
| Line 20: | Line 20: | ||
== Conclusion == | == Conclusion == | ||
| − | Although CPOE can help | + | Although CPOE can help increase efficiency, reducing costs and reduce errors, they can also have adverse consequences. Clinical workflow can be greatly impacted by CPOE due to concerns over rigidity of the system and workstation, accommodating different clinical specialists using CPOE, and lack of ability to function with other systems. Unintended consequences of CPOE implementation should be addressed through continuous (iterative) system and monitoring and improvement. |
== Comments == | == Comments == | ||
| − | I can relate to some of the issues involving CPOE and workflow in the hospital setting. I | + | I can relate to some of the issues involving CPOE and workflow in the hospital setting. As a healthcare employee, I encountered some of the adverse consequences discussed in the article and agree that it should be tailored to the users needs. |
== References == | == References == | ||
Revision as of 00:28, 7 November 2015
Background
This article describes some of the impact that Computerized Provider Order Entry (CPOE) can have on clinical workflow. Physicians use CPOE to order things such as labs, medications, and imaging. CPOEs can reduce costs, reduce errors, promote standardization, and reduce redundancy in orders. However, they can also negatively impact clinical workflow. [1]
Methods
Researchers visited 5 hospitals over a period of three years to collect data. Data was collected through interviews and by shadowing physicians, nurses, pharmacists, and administrators. Clinicians were asked to report unintended consequences related to CPOEs.
Results
Some of the issues or disruptions in workflow were reported as:
- Functional design and shortage of workstations
- Cluttered screen design and space
- Lack of relevant safeguards
- Lack of intraoperability with other systems, such as viewing lab results
- Rigidity of ordering medications, with little room for modifying
- Safety alerts appearing at non-applicable settings
Conclusion
Although CPOE can help increase efficiency, reducing costs and reduce errors, they can also have adverse consequences. Clinical workflow can be greatly impacted by CPOE due to concerns over rigidity of the system and workstation, accommodating different clinical specialists using CPOE, and lack of ability to function with other systems. Unintended consequences of CPOE implementation should be addressed through continuous (iterative) system and monitoring and improvement.
Comments
I can relate to some of the issues involving CPOE and workflow in the hospital setting. As a healthcare employee, I encountered some of the adverse consequences discussed in the article and agree that it should be tailored to the users needs.
References
- ↑ Campbell, E.M., R.N., M.S., Guappone, K.P., M.D., PhD, Sittig, D.F., PhD, Dykstra, R.H., M.D., M.S., Ash, J.S., M.B.A., PhD (2009). Computerized Provider Order Entry Adoption: Implications for Clinical Workflow. Journal of General Internal Medicine, 24(1), 21-26. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607519/
