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Healthcare Policy Analysis
The objective of this study is to conduct a healthcare policy analysis and recommend changes. (Steel and Debrow, nd, p. 2)
Presently, there is not an across-the-board implementation of Computerized Physician Order Entry (CPOE) or prescriptions and this can be critical in reducing adverse drug events. This study argues that the use of the Computerized Physician Order Entry (CPOE) should be implemented and utilized across the entire health care system.
Review of Studies on the Use of CPOE
The work of Steele and DeBrow (nd) states that computerized provider order entry (CPOE) is an electronic process "that allows a health care provider to enter orders electronically and to manage the results of those orders. CPOE has received increased attention, based on the Institute of Medicine (IOM) reports, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, and the recommendation of the Leapfrog Group (a coalition of public and private organizations providing health care benefits) that hospitals introduce systems for prescribing and that they be rewarded for it." (p.1)
The team reports the primary focus of integration of the computerized ordering process into the workflow of the providers and ancillary staff." (Steele and Debrow, nd, p. 2) Findings of the study show that "turnaround times for orders place to all three ancillary departments decreased significantly when the pre- to post-CPOE time periods were compared. Absolute reductions in TAT occurred in all three departments, with decreases of 79 minutes for laboratory orders, 1,146 minutes (19.1 hours) for radiology, and 36.7 minutes for pharmacy. As shown in Table 1, TATs decreased by 55.6% (P
Bibliography
Steele, AM and DeBrow, M (nd0 Efficiency Gains with Computerized Provider Order Entry. Retrieved from: http://www.ahrq.gov/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
Berger, RG and Kichak, JP (2004) Computerized Physician Order Entry: Helpful or Harmful. J Am Med Inform Assoc. 2004 Mar-Apr 11(2) 100-103. PubMed. Retrieved from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC353014/
Walsh, KE et al. (2008) Effect of Computer Order Entry on Prevention of Serious Medication Errors in Hospitalized Children. Pediatrics 2008 Mar 121(3). Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/18310162
Potts, A. (2004) Computerized physician order entry and medication errors in a pediatric critical care unit. Pediatrics. 2004 Jan;113(1 Pt 1):59-63. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/14702449
Kuperman, GJ and Gibson, RF (2003) Computer physician order entry: benefits, costs, and issues. Ann Intern Med. 2003 Jul 1;139(1):31-9.Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/12834316
Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/19449614
Kaushal, R. Shoiania, KG and Bates, DW (2003) Effects of computerized physician order entry and clinical decision support systems on medication safety: a systematic review. Arch Intern Med. 2003 Jun 23;163(12):1409-16. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/12824090
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