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Computerized physician order-entry (CPOE) systems: The emperor has some clothesJan 25, 2011 11:05 EST
The guiding principle of CPOE systems is that they allow physician orders to be easily tracked and hence ensure improved patient care. However, a series of recent articles and insight from users of electronic medical records point to pitfalls in their design and hurdles that must be overcome in order to develop better systems and greater uptake.
What has been your experience with CPOE systems?
Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction. A randomized controlled trial. Arch Intern Med 2010; 170:1578-1583. Abstract.
Kaushal R, Jha AK, Franz C, et al. Return on investment for a computerized physician order entry system. JAMA 2006; 13:261-266. Abstract.
Kelly WN, Rucker D. Compelling features of a safe medication-use system. Am J Health-Syst Pharm 2006; 63:1461-1468. Available here.
Computerized physician order entry fact sheet. February 23, 2010. Washington, DC: The Leapfrog Group. Available here.