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Computerized Provider Order Entry: by Jyotirmoy Roy (3 Year, 6 Sem) Guided by Avishek Chatterjee

This document describes computerized provider order entry (CPOE), including its objectives, how it works, advantages, and disadvantages. CPOE allows medical providers to enter medication orders and other instructions electronically rather than on paper charts. It aims to reduce medical errors by catching issues like incorrect dosages, allergies, and duplicate orders in real-time. While CPOE improves order clarity and standardizes care, it also changes workflows and requires costly training and software investments. Overall, CPOE seeks to enhance patient safety through electronic order management and decision support.

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Ali El Attar
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78 views12 pages

Computerized Provider Order Entry: by Jyotirmoy Roy (3 Year, 6 Sem) Guided by Avishek Chatterjee

This document describes computerized provider order entry (CPOE), including its objectives, how it works, advantages, and disadvantages. CPOE allows medical providers to enter medication orders and other instructions electronically rather than on paper charts. It aims to reduce medical errors by catching issues like incorrect dosages, allergies, and duplicate orders in real-time. While CPOE improves order clarity and standardizes care, it also changes workflows and requires costly training and software investments. Overall, CPOE seeks to enhance patient safety through electronic order management and decision support.

Uploaded by

Ali El Attar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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COMPUTERIZED PROVIDER ORDER ENTRY

BY JYOTIRMOY ROY
(3RD YEAR ,6TH SEM)
GUIDED BY AVISHEK CHATTERJEE
OBJECTIVES
1. Describe Computer-Based Provider Order Entry (CPOE)
2. Problems with Manual System
3. Why CPOE ?
4. Available hardware and software for CPOE
5. How CPOE work ?
6. CPOE NETWORK
7. Advantages and disadvantages of CPOE
8. References
Computerize provider Oder entry
(CPOE)
 Known as Computerized physician order entry (CPOE)
 A system that allows providers to place specific order electronically through
the computer.
 It's the process of a medical professional entering meditation order or other
physician instructions electronically instead on paper charts .
 CPOE system are often used in tandem with e-prescribing system ,which alert
physicians and clinicians to a particular patient's drug allergies and current
medication.
The problem with Manual system
 Deciphering hieroglyphics (provider‘s handwriting)
 Incomplete or Inappropriate Oder
 Order on the wrong patient
 Drug/Drug , Drug/Formulary ,Drug-Allergy issues
 Delays-workflow
For These Problems
 Estimated that between 44,000 to 98,000 hospital deaths/year Due to
medical errors
 Two resent Harvard Studies found that physician ordering errors accounted for
56%-78% of all preventable adverse Drug Events.
Why CPOE
 Order Communication
 Clarity of orders
 Ease of Identifying the Ordering Physician

 Standardization of care
 Clinically validated order sets for
 Clinical diagnoses
 Procedures
 Situations (post-op order sets )

 Alerts and Reminders (Real Time Decision Support)


 Drug safety Database (Conflict checking)
 Clinically validated Rules
CPOE Hardware And Software
 Desktop computer
 Laptop
 Computer on wheels
 PDA (Personal Digital Assistant)
 PALM Pilot
Provider Order System
 Multiple manufacturers
 Cerner
 McKesson
 Eclipsys
 Siemens
 Quadra med
 HMS
 Meditech
Working of CPOE
Example of CPOE screen Provider use
Advantages of CPOE

 Ensures that orders are legible


 Prevents medication errors which can save money and lives
 The Institute of Medicine estimates that the United States spends about $37.6 billion each year for
medical errors,$17 billion of those costs are preventable (McGonigle & Mastrian,2012,P.219)
 In 20000 about 98,000 people died as a result of medical errors in the United States (Hoey,Nichol
& Silverman,2009)

 Can keeps costs down if the software is used correctly


 Improves quality of care
 Can save time verify orders
 Alerts
 Medication expiring ,duplicate order ,contraindications

 Will prevent illegal handwritten orders/prescriptions


 Provides decision support
CPOE NETWORK
Disadvantages

 Can cause negative workflow for unit clerks as they may not be able to verify
orders in a timely manner before the order is carried out (Dixon &Zafar,2009)
 Needs training which is costly and time consuming (Dixon &Zafar,2009)
 Software can be expensive to start and maintain (Hoey,Nichol &
Silverman,2009)
 Can change workflow and result in less communication between healthcare
professionals as a result of electronically processed orders ( Hoey, Nichol &
Silverman ,2009)
 Unavailable with computer downtime
References
1.agency for Healthcare Research and Quality
(2009). http://healthit.ahrq.gov/images/jan09cpoereport/cpoe_issue_paper.htm
2. Institute of Medicine (1999). "To Err Is Human: Building a Safer Health System (1999)". The
National Academies Press. Retrieved 2012-12-08.
3. Institute of Medicine (2001). "Crossing the Quality Chasm: A New Health System for the
21st Century". The National Academies Press. Retrieved 2006-06-29.
4.The Institute of Medicine (2006). "Preventing Medication Errors". The National Academies
Press. Retrieved 2006-07-21.
5.Oren, E.; Shaffer, E. & Guglielmo, B. (2003). "Impact of emerging technologies on
medication errors and adverse drug events.". American Journal of Health-System
Pharmacy. 60: 1447–1458.
6 David W. Bates, MD; et al. (1998). "Effect of Computerized Physician Order Entry and a
Team Intervention on Prevention of Serious Medication Errors" (abstract). JAMA. 280 (15):
1311–1316. doi:10.1001/jama.280.15.1311. PMID 9794308. Retrieved 2006-06-20.
7. http://www.eurekalert.org/pub_releases/2010-05/sumc-ssf042710.php
8. http://www.beckersasc.com/asc-quality-infection-control/study-cpoe-systems-improve-
prophylactic-antibacterial-use-in-surgical-patients.html
9.Ross Koppel; et al. (2005). "Role of Computerized Physician Order Entry Systems in
Facilitating Medication Errors" (abstract). JAMA. 293 (10): 1197–1203. Retrieved 2006-06-28.
10.Lohr, Steve (2005-03-09). "Doctors' Journal Says Computing Is No Panacea". The New
York Times. Retrieved 2006-07-15.

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