HealthCanal
“Despite a national mandate to implement electronic health records and computer order entry systems (CPOE) by 2014, only approximately 30 percent of hospitals nationwide have done so and around 40 percent of hospitals in the state of Massachusetts have made this transition.
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Leung AA et al, Journal of General Internal Medicine, 2011
BACKGROUND
It is uncertain if computerized physician order entry (CPOE) systems are effective at reducing adverse drug event (ADE) rates in community hospitals, where mainly vendor-developed applications are used.
OBJECTIVE
To evaluate the impact of vendor CPOE systems on the frequency of ADEs.
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Dan Bowman, FierceHealthIT
“Despite the complexity associated with computerized physician order entry, such systems can be used on a broad scale by medical facilities to schedule medical imaging exams, a new study focused on such efforts at Boston-based Brigham & Women’s Hospital concluded. What’s more, if properly used, CPOE can decrease inappropriate use of imagining while boosting the quality of patient care, according to the study’s authors.
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Ip IK et al, Journal of the American College of Radiology, 9(2)
Purpose
The aim of this study was to assess whether an integrated imaging computerized physician order entry (CPOE) system with embedded decision support for imaging can be accepted clinically.
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Nari Kannan, SearchHealthIT
“The Ottawa (Ontario) Hospital is the largest acute care hospital in Canada, with 1,163 beds and 11,967 staff members, among them 1,159 attending physicians and 3,886 registered nurses. The hospital announced in December that it will use Aruba Networks Inc.’s WiFi Mobile Virtual Enterprise (MOVE) system to connect 3,000 Apple devices — including iPads, iPhones and iPod Touch units — at the medical facility.
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Yoon D et al, International Journal of Medical Informatics, 2011
PURPOSE:
This study examined the current prevalence of electronic health records (EHRs) in Korea and identified the factors that impede or facilitate the adoption of EHRs.
METHODS:
We surveyed all tertiary teaching and general hospitals in Korea. The degree to which EHR systems were adopted was evaluated using the previously defined definitions of ‘comprehensive’ and ‘basic’ EHRs based on their electronic functionality. The effects of teaching status, size, and location of hospitals on EHR adoption were examined. We also investigated factors that impeded or facilitated the adoption of EHR systems.
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McKibbon KA et al, J Am Med Inform Assoc, 19(1)
Objective
The US Agency for Healthcare Research and Quality funded an evidence report to address seven questions on multiple aspects of the effectiveness of medication management information technology (MMIT) and its components (prescribing, order communication, dispensing, administering, and monitoring).
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Halamka JD. AHRQ, 2011
The Obama Administration is spending $27 billion dollars to accelerate the meaningful use of electronic health records (EHRs) in pursuit of three policy goals: enhanced safety, improved quality, and increased efficiency. However, despite some evidence that electronic health records can achieve these goals, implementation can introduce new errors, new risks, and new challenges.
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Al-Dorzi HM et al, BMC Medical Informatics and Decision Making, 11
Background
Computerized physician order entry (CPOE) systems are recommended to improve patient safety and outcomes. However, their effectiveness has been questioned. Our objective was to evaluate the impact of CPOE implementation on the outcome of critically ill patients.
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Beth Walsh, CMIO
“When Hospital Sisters Health System, a 13-hospital system in Wisconsin and Illinois, implemented computerized physician order entry and EHR, everything seemed fine—for a little while. Just a couple of months after the installation, William Montgomery, CIO, received a letter from the physicians listing 38 issues that they wanted fixed within two weeks.
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CMIO
“A new study—the first study to evaluate the relationship between meaningful use for computerized medication ordering and hospital mortality rates—released online by Health Affairs, examines the potential impact on Medicare and Medicaid patients of the Stage 1 meaningful use EHR requirements.
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Mary Ellen Schneider, Family Practice News Digital Network
“Current government thresholds for the “meaningful use” of computerized provider order entry in the hospital may not be high enough to actually save lives, according to a simulation conducted by researchers at the Rand Corporation.
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Joseph Goedert, HDM Breaking News
“A new study published in Health Affairs suggests that Stage 1 meaningful use criteria for use of computerized physician order entry systems is probably too low to significantly lower mortality rates among heart patients, but higher levels of mandated use in Stages 2 and 3 “is more consistently associated with lower mortality.”
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Jones SS et al, Health Affairs, 2011
The federal government is currently offering bonus payments through Medicare and Medicaid to hospitals, physicians, and other eligible health professionals who meet new standards for “meaningful use” of health information technology. Whether these incentives will improve care, reduce errors, and improve patient safety as intended remains uncertain. We sought to partially fill this knowledge gap by evaluating the relationship between the use of electronic medication order entry and hospital mortality.
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David Gulliver, Bradenton Herald
“At Blake Medical Center, the prognosis for pen and paper is poor: Doctors’ traditional tools for tracking cases and ordering medications and procedures are being phased out in favor of computers.
To Dr. Joe Pace, a cardiologist, it’s a tremendous boon.
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Jeff Rowe, Healthcare IT HITECHWatch
“You say “po-tay-to”, I say “po-tah-to.”
It often seems that the old song could be applied to any number of policy discussions, and it appears applicable once again to the latest news concerning the use of CPOE among hospitals.
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Neil Versel, InformationWeek
“Computerized physician order entry (CPOE), backed with clinical decision support (CDS), has long been considered an essential component of an electronic health record (EHR) because it is supposed to decrease duplication of orders and help prevent medical errors. But a new study suggests that some CPOE systems could be having exactly the opposite effect.
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Wetterneck TB et al, J Am Med Inform Assoc, 2011
Objective
To evaluate the incidence of duplicate medication orders before and after computerized provider order entry (CPOE) with clinical decision support (CDS) implementation and identify contributing factors.
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CMIO
“The average number of hospitals going live with computerized physician order entry (CPOE) has ballooned to 233 per year, up from 87 before passage of the American Recovery and Reinvestment Act (ARRA), according to healthcare market research firm KLAS. However, even with recent growth, less than one quarter of U.S. hospitals are live with CPOE, and only a few vendors have even half of their customer base live.
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Mary Mosquera, Government Health IT
“More providers are adopting computerized physician order entry (CPOE) as a result of the Medicare and Medicaid incentive programs for meaningful use of electronic health records (EHRs), according to researcher KLAS.
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