Effect of CPOE user interface design on user-initiated access to educational and patient information during clinical care

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This is a review for a study on the effects CPOE on Educational material [1]


To evaluate whether or not having displayed links to educational material and patient information would affect the access rates for clinical staff to the material. There are three conditions that require to successfully incorporate educational material into daily CPOE usage.

  • Existence to relevant, useful, validated delivery tools
  • Ability to integrate into clinical workflow
  • Availability in a single system of a comprehensive functionality


Postgraduate Training staff (years 1-3)


One of two methods were used in this study.

  • PC-POETS – a decision support system used to access study-related material. It was available to all interventions and subjects, by selecting “Bells and Whistles” menu, which user could access educational material and patient information.

Features included in this systems were:

  • Antibiotic advisement
  • Case-specific linkages
  • American Hospital Formulary Service Drug information Reference
  • Mosby's GenRx Drug Information Reference
  • Internal medicine diagnoses
  • Alerts to Laboratory test
  • Tallied ongoing function


During a two and half month period (Academic Year). The subject group cared for 4,550 patients and initiated 100,881 order entry. During that time 418,739 study-related material was triggered. The postgraduate group accessed only 296 study-related during the time of study. The study-related material was accessed once every 16 days and 1.26 aggregately.


When it comes to accessing educational material it all depends on the user and the user needs. Even though the system triggered the material the workflow of the staff would be in question. Based on the results of the study response rate and recognizing the material it's hard to know the optimal when providing information to relevant resources.


  1. Effect of CPOE User Interface Design on User-Initiated Access to Educational and Patient Information during Clinical Care. Journal of American Medical Informatics Association. 2005 458-473. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1174891/