Difference between revisions of "Summary and Frequency of Barriers to Adoption of CPOE in the U.S."

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This is a review of Kruse, C.S. & Goetz, K. (2015). “Summary and Frequency of Barriers to Adoption of CPOE in the U.S.” <ref> Kruse, C.S. & Goetz, K. (2015). Summary and Frequency of Barriers to Adoption of CPOE in the U.S. Journal of Medical Systems; 39(2):198. doi: 10.1007/s10916-015-0198-2. http://www.ncbi.nlm.nih.gov/pubmed/25638719 </ref>
 
This is a review of Kruse, C.S. & Goetz, K. (2015). “Summary and Frequency of Barriers to Adoption of CPOE in the U.S.” <ref> Kruse, C.S. & Goetz, K. (2015). Summary and Frequency of Barriers to Adoption of CPOE in the U.S. Journal of Medical Systems; 39(2):198. doi: 10.1007/s10916-015-0198-2. http://www.ncbi.nlm.nih.gov/pubmed/25638719 </ref>
  
= Background =
+
== Background ==
 
In modern healthcare, medical errors are not uncommon and can be very damaging and routinely have the potential to seriously injure or kill patients (Kruse & Goetz, 2015). Computer provider order entry ([[CPOE]]) if implemented properly in the United States can be a safeguard to ensure safety, as well as quality and value of care received by the consumer. <ref> Kohn LT, Corrigan JM, Donaldson MS. Editors; Committee on Quality of Health Care in America, Institute of Medicine. (1999). To Err is Human, National Academies Press. p191 ISBN: 0-309-06837-1 </ref> Despite the many benefits of CPOE systems, particularly those associated with the reduction in adverse drug events adoption by healthcare organizations has been slow.  
 
In modern healthcare, medical errors are not uncommon and can be very damaging and routinely have the potential to seriously injure or kill patients (Kruse & Goetz, 2015). Computer provider order entry ([[CPOE]]) if implemented properly in the United States can be a safeguard to ensure safety, as well as quality and value of care received by the consumer. <ref> Kohn LT, Corrigan JM, Donaldson MS. Editors; Committee on Quality of Health Care in America, Institute of Medicine. (1999). To Err is Human, National Academies Press. p191 ISBN: 0-309-06837-1 </ref> Despite the many benefits of CPOE systems, particularly those associated with the reduction in adverse drug events adoption by healthcare organizations has been slow.  
  
= Methods =
+
== Methods ==
 
Kruse & Goetz, (2015) carried out a systematic literature review on CINAHL (EBSCO host), Google Scholar, and PubMed. Using “three search phrases; each search phrase is separated by the Boolean operator BOR^: BCPOE^ AND Bbarrier^ OR BComputerized Physician Order Entry^ AND Bbarrier^ OR BComputer Order Entry^ AND Bbarrier.^” (p.2). Filters employed in the search included a time frame of 2004-2014 mostly chosen due to President Bush’s State of the Union Address where implementation of health information technology was given precedence over other issues.  
 
Kruse & Goetz, (2015) carried out a systematic literature review on CINAHL (EBSCO host), Google Scholar, and PubMed. Using “three search phrases; each search phrase is separated by the Boolean operator BOR^: BCPOE^ AND Bbarrier^ OR BComputerized Physician Order Entry^ AND Bbarrier^ OR BComputer Order Entry^ AND Bbarrier.^” (p.2). Filters employed in the search included a time frame of 2004-2014 mostly chosen due to President Bush’s State of the Union Address where implementation of health information technology was given precedence over other issues.  
  
= Results =
+
== Results ==
 
Examination of ten papers by Kruse & Goetz, (2015) showed a total of thirty-one barriers found to the adoption of CPOE systems. Some of the unique fifteen barriers identified by Kruse & Goetz, (2015) included changing processes which revolve around medications, ensuring adequate training for users, the associated complexity with the system, the cost, poor user interface, legal concerns and others.  
 
Examination of ten papers by Kruse & Goetz, (2015) showed a total of thirty-one barriers found to the adoption of CPOE systems. Some of the unique fifteen barriers identified by Kruse & Goetz, (2015) included changing processes which revolve around medications, ensuring adequate training for users, the associated complexity with the system, the cost, poor user interface, legal concerns and others.  
  
= Conclusion =
+
== Conclusion ==
 
Kruse & Goetz, (2015) showed in their literature review that CPOE has the potential to reduce medical mistakes however, CPOE systems alone show restricted success. Factors which will ensure optimal success in CPOE implementation include widespread backing by users and owners alike, supportive clinical champions and sufficient instruction on its operation for staff. This article was quite interesting however, being a literature review it enforced much of what we already know and contained few new gems of information. What was the most valuable feature of this study was that it was completed within the last year, making it a very recent reference available to those embarking on implementing such a system.   
 
Kruse & Goetz, (2015) showed in their literature review that CPOE has the potential to reduce medical mistakes however, CPOE systems alone show restricted success. Factors which will ensure optimal success in CPOE implementation include widespread backing by users and owners alike, supportive clinical champions and sufficient instruction on its operation for staff. This article was quite interesting however, being a literature review it enforced much of what we already know and contained few new gems of information. What was the most valuable feature of this study was that it was completed within the last year, making it a very recent reference available to those embarking on implementing such a system.   
  
= References =
+
== References ==
 
<references/>
 
<references/>
 
[[Category: Reviews]]
 
[[Category: Reviews]]
 
[[Category:CPOE]]
 
[[Category:CPOE]]

Revision as of 07:00, 23 February 2015

This is a review of Kruse, C.S. & Goetz, K. (2015). “Summary and Frequency of Barriers to Adoption of CPOE in the U.S.” [1]

Background

In modern healthcare, medical errors are not uncommon and can be very damaging and routinely have the potential to seriously injure or kill patients (Kruse & Goetz, 2015). Computer provider order entry (CPOE) if implemented properly in the United States can be a safeguard to ensure safety, as well as quality and value of care received by the consumer. [2] Despite the many benefits of CPOE systems, particularly those associated with the reduction in adverse drug events adoption by healthcare organizations has been slow.

Methods

Kruse & Goetz, (2015) carried out a systematic literature review on CINAHL (EBSCO host), Google Scholar, and PubMed. Using “three search phrases; each search phrase is separated by the Boolean operator BOR^: BCPOE^ AND Bbarrier^ OR BComputerized Physician Order Entry^ AND Bbarrier^ OR BComputer Order Entry^ AND Bbarrier.^” (p.2). Filters employed in the search included a time frame of 2004-2014 mostly chosen due to President Bush’s State of the Union Address where implementation of health information technology was given precedence over other issues.

Results

Examination of ten papers by Kruse & Goetz, (2015) showed a total of thirty-one barriers found to the adoption of CPOE systems. Some of the unique fifteen barriers identified by Kruse & Goetz, (2015) included changing processes which revolve around medications, ensuring adequate training for users, the associated complexity with the system, the cost, poor user interface, legal concerns and others.

Conclusion

Kruse & Goetz, (2015) showed in their literature review that CPOE has the potential to reduce medical mistakes however, CPOE systems alone show restricted success. Factors which will ensure optimal success in CPOE implementation include widespread backing by users and owners alike, supportive clinical champions and sufficient instruction on its operation for staff. This article was quite interesting however, being a literature review it enforced much of what we already know and contained few new gems of information. What was the most valuable feature of this study was that it was completed within the last year, making it a very recent reference available to those embarking on implementing such a system.

References

  1. Kruse, C.S. & Goetz, K. (2015). Summary and Frequency of Barriers to Adoption of CPOE in the U.S. Journal of Medical Systems; 39(2):198. doi: 10.1007/s10916-015-0198-2. http://www.ncbi.nlm.nih.gov/pubmed/25638719
  2. Kohn LT, Corrigan JM, Donaldson MS. Editors; Committee on Quality of Health Care in America, Institute of Medicine. (1999). To Err is Human, National Academies Press. p191 ISBN: 0-309-06837-1