Difference between revisions of "Computerized physician order entry"

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CPOE is reported to improve staff communication, decrease delays in order completion, reduce errors related to handwriting or transcription, allow order entry at the point of care as well as off-site, offer an error checking mechanism for duplicate or incorrect tests/doses, and simplify inventory and billing management.<ref name="DixonInpatient09">{{cite web |url=https://healthit.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe |title=Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio |author=Dixon, Brian E.; Zafar, Atif |publisher=AHRQ National Resource Center for Health IT |date=January 2009 |accessdate=04 December 2015}}</ref><ref name="TeasdaleNursing08" /><ref name="AHAGuide00" />
CPOE is reported to improve staff communication, decrease delays in order completion, reduce errors related to handwriting or transcription, allow order entry at the point of care as well as off-site, offer an error checking mechanism for duplicate or incorrect tests/doses, and simplify inventory and billing management.<ref name="DixonInpatient09">{{cite web |url=https://healthit.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe |title=Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio |author=Dixon, Brian E.; Zafar, Atif |publisher=AHRQ National Resource Center for Health IT |date=January 2009 |accessdate=04 December 2015}}</ref><ref name="TeasdaleNursing08" /><ref name="AHAGuide00" />


==History==
Some people consider the first predecessor to CPOE to be a [[hospital information system]] (HIS) implemented in the early 1970s.<ref name="CiottiGreat09">{{cite web |url=http://www.healthcare-informatics.com/article/great-grandfather-cpoe |title=Great-Grandfather of CPOE |author=Ciotti, Vince |work=Healthcare Informatics |publisher=Vendome Group, LLC |date=31 August 2009 |accessdate=04 December 2015}}</ref><ref name="NilesBasics10" /> The idea of implementing a computerized information-handling system in the hospital sphere was first conceived in 1965, when Lockheed Martin conducted an information gathering project on the feasibility of such a system.<ref name="LHHIS">{{cite book |url=http://books.google.com/books?id=8vsFGwAACAAJ |title=Lockheed Hospital Information System |publisher=Lockheed Aircraft Corporation |year=1965 |pages=82}}</ref><ref name="DemEvalHos">{{cite book |url=http://books.google.com/books?id=6RA7YzUXYg8C |title=Demonstration and evaluation of a total hospital information system |author=Gall, John E.; Norwood, Donald D.; El Camino Hospital |publisher=U.S. Dept. of Health, Education, and Welfare, Public Health Service, Health Resources Administration, National Center for Health Services Research |series=NCHSR research summary series |year=1977 |pages=38}}</ref> Lockheed built a prototype hospital information system called "MIS" or "Medical Information System," and El Camino Hospital agreed to pilot it incrementally. In 1971 Lockheed was forced to sell its HIS research division to Technicon Data Systems; however, El Camino ultimately decided to fully implement it in 1972.<ref name="DemEvalHos" /><ref name="EvoHosSys">{{cite journal |url=http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2203735/pdf/procascamc00012-0066.pdf |format=PDF |title=Evolution of a Hospital Information System |author=Buchanan, Neilson S. |journal=Proceedings of the Annual Symposium on Computer Application in Medical Care |issue=1 |pages=34–36 |date=05 November 1980 |pmcid=PMC2203735}}</ref> The system had features such as laboratory test scheduling, IV ordering, and pharmacy management.<ref name="EvoHosSys" />


Though the HIS would progress in sophistication into the 1990s, its primary focus wasn't necessarily on integrated information and order entry. The need for such a system became more apparent at the end of the century, with the major turning point being the 1999 Institute of Medicine publication of ''To Err Is Human: Building a Safer Health System''. Noting that 44,000 to 98,000 people were dying each year in the hospital from adverse events, a public debate ensued on what methods and tools could be implemented to improve patient safety in the hospital.<ref name="CHFAPrimer00" />


==References==
==References==
<references />
<references />

Revision as of 18:18, 4 December 2015

Computerized physician order entry (CPOE) — sometimes referred to as computerized provider order entry — is an electronic system typically implemented in hospitals that allows a medical practitioner to directly enter testing and treatment orders for a patient, afterward electronically transmitting the orders to the correct department(s) for fulfillment. Orders may be entered from mobile devices or dedicated computers and may include requests for medications, laboratory tests, and patient care assessments. In many cases the CPOE is integrated into a network of other computer systems, including clinical decision support systems.[1][2][3][4]

CPOE is reported to improve staff communication, decrease delays in order completion, reduce errors related to handwriting or transcription, allow order entry at the point of care as well as off-site, offer an error checking mechanism for duplicate or incorrect tests/doses, and simplify inventory and billing management.[5][1][3]

History

Some people consider the first predecessor to CPOE to be a hospital information system (HIS) implemented in the early 1970s.[6][4] The idea of implementing a computerized information-handling system in the hospital sphere was first conceived in 1965, when Lockheed Martin conducted an information gathering project on the feasibility of such a system.[7][8] Lockheed built a prototype hospital information system called "MIS" or "Medical Information System," and El Camino Hospital agreed to pilot it incrementally. In 1971 Lockheed was forced to sell its HIS research division to Technicon Data Systems; however, El Camino ultimately decided to fully implement it in 1972.[8][9] The system had features such as laboratory test scheduling, IV ordering, and pharmacy management.[9]

Though the HIS would progress in sophistication into the 1990s, its primary focus wasn't necessarily on integrated information and order entry. The need for such a system became more apparent at the end of the century, with the major turning point being the 1999 Institute of Medicine publication of To Err Is Human: Building a Safer Health System. Noting that 44,000 to 98,000 people were dying each year in the hospital from adverse events, a public debate ensued on what methods and tools could be implemented to improve patient safety in the hospital.[2]

References

  1. ↑ 1.0 1.1 Teasdale, Carla M. (2008). Nursing Perceptions of a Computerized Physician Order Entry System. Ann Arbor, MI: ProQuest Information and Learning Company. pp. 92. ISBN 9780549501794. https://books.google.com/books?id=FgrRNzl65AIC&pg=PA9. Retrieved 04 December 2015. 
  2. ↑ 2.0 2.1 California Healthcare Foundation (2000) (PDF). A Primer on Physician Order Entry. Long Beach, CA: First Consulting Group. pp. 44. ISBN 1929008414. http://www.chcf.org/~/media/MEDIA%20LIBRARY%20Files/PDF/PDF%20C/PDF%20CPOEreport.pdf. Retrieved 04 December 2015. 
  3. ↑ 3.0 3.1 Armstrong, Carl W. (2000) (PDF). AHA Guide to Computerized Physician Order-Entry Systems. Chicago, IL: American Hospital Association. pp. 47. http://www.aha.org/content/00-10/CompEntryA1109.pdf. Retrieved 04 December 2015. 
  4. ↑ 4.0 4.1 Niles, Nancy J. (2010). Basics of the U.S. Health Care System. Sudbury, MA: Jones & Bartlett Learning. pp. 333. ISBN 9780763769840. https://books.google.com/books?id=ySChp4XlGJgC&pg=PA209. Retrieved 04 December 2015. 
  5. ↑ Dixon, Brian E.; Zafar, Atif (January 2009). "Inpatient Computerized Provider Order Entry (CPOE): Findings from the AHRQ Health IT Portfolio". AHRQ National Resource Center for Health IT. https://healthit.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe. Retrieved 04 December 2015. 
  6. ↑ Ciotti, Vince (31 August 2009). "Great-Grandfather of CPOE". Healthcare Informatics. Vendome Group, LLC. http://www.healthcare-informatics.com/article/great-grandfather-cpoe. Retrieved 04 December 2015. 
  7. ↑ Lockheed Hospital Information System. Lockheed Aircraft Corporation. 1965. pp. 82. http://books.google.com/books?id=8vsFGwAACAAJ. 
  8. ↑ 8.0 8.1 Gall, John E.; Norwood, Donald D.; El Camino Hospital (1977). Demonstration and evaluation of a total hospital information system. NCHSR research summary series. U.S. Dept. of Health, Education, and Welfare, Public Health Service, Health Resources Administration, National Center for Health Services Research. pp. 38. http://books.google.com/books?id=6RA7YzUXYg8C. 
  9. ↑ 9.0 9.1 Buchanan, Neilson S. (5 November 1980). "Evolution of a Hospital Information System" (PDF). Proceedings of the Annual Symposium on Computer Application in Medical Care (1): 34–36. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2203735/pdf/procascamc00012-0066.pdf. 
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