Transitioning from a traditional paper order entry process to an EHR with CPOE
In fact, continues Doyle, many in the industry are hoping and praying that there will be pushback or a grace period regarding CPOE
We expect CPOE
usage impacts on process outcomes to be non-linear (Appari, Johnson, and Anthony 2013; Jones et al.
Partial adoption would make it difficult to calculate return on investment, and the debate about the virtues and unintended consequences of CPOE
Hospitals voluntarily report information annually about hospital practices (including CPOE
use), performance, and outcomes to the Leapfrog Group.
process is also expected to reduce the number of adverse drug reactions that occur in the hospital.
The project was led by information technology nursing informatics CPOE
consultants who reviewed the literature and interviewed staff, and providers from other CPOE
AMT responded that it strongly believes the CPOE
function should be expanded to allow properly credentialed, unlicensed healthcare professionals to perform the data entry aspect of CPOE
hospitals had achieved the 10% use rate of CPOE
required to receive Stage 1 meaningful use rewards in 2011 (Chaffee 2010; Hess 2010).
and his colleagues had seen temporarily increased mortality levels at Children's Hospital of Pittsburgh, following that organization's CPOE
go-live several years earlier, which was described in a December 2005 article in Pediatrics.
And even when implemented, a CPOE
system does not guarantee an enhancement of care.
implementation currently ranges between 3-10% of all facilities nationwide.
Ashe Memorial is one of 60 hospitals that have already selected PatientKeeper CPOE
(Computerized Physician Order Entry) both to meet the physician-facing elements of Stage 1 "Meaningful Use" criteria, and to ensure sufficient physician adoption to comply with the more stringent requirements of Stages 2 and 3.
And while choosing the right technology is an essential component to best-practice deployment of CPOE
, it's important that a critical first step to creating a foundation for long-term success is not missed--the creation of a solid governance plan built around clinician workflows.
The ARRA-HITECH Act has made CPOE
a household word (well, almost).