Computerized provider order entry adoption: implications for clinical workflow.

Emily M. Campbell; Kenneth P. Guappone; Dean F. Sittig; Richard H. Dykstra; Joan S. Ash

Study

Computerized provider order entry adoption: implications for clinical workflow.

December 10, 2008

Campbell EM, Guappone KP, Sittig DF, et al. J Gen Intern Med. 2009;24(1):21-6.

View more articles from the same authors.

Prior studies have demonstrated unintended consequences associated with implementing computerized provider order entry (CPOE) systems. This qualitative study used direct observation and interviews to characterize the types of work flow disruptions associated with CPOE.

Free full text

PubMed citation

Available at

Related Resources From the Same Author(s)

Types of unintended consequences related to computerized provider order entry.

September 20, 2006

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

October 15, 2008

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

July 16, 2008

The extent and importance of unintended consequences related to computerized provider order entry.

May 16, 2007

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy.

March 22, 2017

Essential activities for electronic health record safety: a qualitative study.

March 20, 2019

A survey of factors affecting clinician acceptance of clinical decision support.

February 22, 2006

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

August 16, 2006

Standard practices for computerized clinical decision support in community hospitals: a national survey.

July 11, 2012

Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review.

November 22, 2017

A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care.

September 21, 2016

New unintended adverse consequences of electronic health records.

July 19, 2017

Application of electronic health records to The Joint Commission's 2011 National Patient Safety Goals.

July 13, 2011

Policies to promote shared responsibility for safer electronic health records.

September 29, 2021

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.

June 24, 2020

Toward more proactive approaches to safety in the electronic health record era.

September 13, 2017

Electronic health records and National Patient-Safety Goals.

November 21, 2012

Measuring and improving patient safety through health information technology: the Health IT Safety Framework.

October 14, 2015

Safe electronic health record use requires a comprehensive monitoring and evaluation framework.

February 10, 2010

Eight rights of safe electronic health record use.

September 23, 2009

Defining health information technology–related errors: new developments since To Err Is Human.

August 3, 2011

Advancing the science of measurement of diagnostic errors in healthcare: the Safer Dx framework.

January 28, 2015

Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.

March 6, 2005

Clinical decision support alert malfunctions: analysis and empirically derived taxonomy.

November 1, 2017

Guidelines for US hospitals and clinicians on assessment of electronic health record safety using SAFER Guides.

February 16, 2022

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

Improving the safety of health information technology requires shared responsibility: it is time we all step up.

August 2, 2017

Contingency planning for electronic health record–based care continuity: a survey of recommended practices.

October 15, 2014

Creating an oversight infrastructure for electronic health record–related patient safety hazards.

November 30, 2011

Patient safety goals for the proposed Federal Health Information Technology Safety Center.

November 19, 2014

The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.

March 1, 2017

Fighting a common enemy: a catalyst to close intractable safety gaps.

August 5, 2020

Bridging the feedback gap: a sociotechnical approach to informing clinicians of patients' subsequent clinical course and outcomes.

June 30, 2021

Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

November 5, 2014

Five strategies for a safer EHR modernization journey.

December 6, 2023

Computerized physician order entry in US hospitals: results of a 2002 survey.

March 6, 2005

Assessment of health information technology-related outpatient diagnostic delays in the US Veterans Affairs health care system: a qualitative study of aggregated root cause analysis data.

July 22, 2020

Safety huddles to proactively identify and address electronic health record safety.

January 25, 2017

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

May 31, 2006

Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners.

May 28, 2014

Defining and measuring diagnostic uncertainty in medicine: a systematic review.

October 18, 2017

Challenges in patient safety improvement research in the era of electronic health records.

August 17, 2016

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Reducing warfarin medication interactions: an interrupted time series evaluation.

June 14, 2006

Electronic health record–related safety concerns: a cross-sectional survey.

August 20, 2014

Electronic health record reviews to measure diagnostic uncertainty in primary care.

May 2, 2018

Matching identifiers in electronic health records: implications for duplicate records and patient safety.

March 13, 2013

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

An analysis of electronic health record–related patient safety concerns.

July 2, 2014

Workarounds and test results follow-up in electronic health record–based primary care.

August 3, 2016

Exploring the sociotechnical intersection of patient safety and electronic health record implementation.

October 16, 2013

Current challenges in health information technology–related patient safety.

January 16, 2019

Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain?

March 17, 2010

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

Patient perceptions of receiving test results via online portals: a mixed-methods study.

January 17, 2018

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.

October 11, 2017

Information overload and missed test results in electronic health record–based settings.

March 13, 2013

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.

May 19, 2010

Ten strategies to improve management of abnormal test result alerts in the electronic health record.

June 16, 2010

Timely follow-up of abnormal diagnostic imaging test results in an outpatient setting: are electronic medical records achieving their potential?

October 7, 2009

Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems.

April 8, 2015

Evaluation of a physician informatics tool to improve patient handoffs.

July 29, 2009

Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication.

January 20, 2010

Assessing system failures in operating rooms and intensive care units.

March 7, 2007

Application of electronic trigger tools to identify targets for improving diagnostic safety.

October 17, 2018

Safe use of the EHR by medical scribes: a qualitative study.

November 18, 2020

Electronic detection of delayed test result follow-up in patients with hypothyroidism.

February 15, 2017

Electronic triggers to identify delays in follow-up of mammography: harnessing the power of big data in health care.

November 29, 2017

Computerized triggers of big data to detect delays in follow-up of chest imaging results.

September 28, 2016

Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care.

June 19, 2013

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

Patient safety: latent risk factors.

July 14, 2010

The impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support.

December 22, 2010

A comparison of hospital adverse events identified by three widely used detection methods.

August 5, 2009

A comparative review of patient safety initiatives for national health information technology.

February 6, 2013

How providers can optimize effective and safe scribe use: a qualitative study.

February 1, 2023

Residents report on adverse events and their causes.

January 4, 2006

Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study.

March 11, 2020

How context affects electronic health record–based test result follow-up: a mixed-methods evaluation.

December 3, 2014

When should a multicampus hospital be considered a single entity for public reporting on patient safety issues?

June 6, 2007

Clinical decision support: a 25 year retrospective and a 25 year vision.

September 14, 2016

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

Application of human factors methods to understand missed follow-up of abnormal test results.

November 11, 2020

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.

October 10, 2018

Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons.

July 25, 2012

Year in review: medication mishaps in the elderly.

April 27, 2011

Distraction and interruption in anaesthetic practice.

January 23, 2013

Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.

July 25, 2012

Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?

May 14, 2014

Analysis of clinical decision support system malfunctions: a case series and survey.

April 13, 2016

Creating an infrastructure for safety event reporting and analysis in a multicenter pediatric emergency department network.

April 3, 2013

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

August 15, 2007

Informal learning from error in hospitals: what do we learn, how do we learn and how can informal learning be enhanced? A narrative review.

October 16, 2013

Identifying barriers to the effective use of clinical reminders: bootstrapping multiple methods.

June 1, 2005

Applying human factors engineering to address the telemetry alarm problem in a large medical center.

August 11, 2021

Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system.

April 25, 2018

Profiles in patient safety: a "perfect storm" in the emergency department.

June 20, 2007

Nurse staffing, burnout, and health care-associated infection.

August 15, 2012

Designing a safer radiology department.

March 29, 2012

Related Resources

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Discontinuation of outpatient medications: implications for electronic messaging to pharmacies using CancelRx.

December 7, 2022

The electronic prescribing of subcutaneous infusions: a before-and-after study assessing the impact upon patient safety and service efficiency.

June 15, 2022

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.

July 21, 2021

The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned.

March 17, 2021

A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system.

December 23, 2020

Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents.

September 18, 2019

A mixed-method study of practitioners' perspectives on issues related to EHR medication reconciliation at a health system.

May 8, 2019

Learning from errors: analysis of medication order voiding in CPOE systems.

March 15, 2017

Pharmacist–physician communications in a highly computerised hospital: sign-off and action of electronic review messages.

August 24, 2016

Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals.

May 18, 2016

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication.

March 19, 2014

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.

February 26, 2014

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.

February 19, 2014

Computerized physician order entry: promise, perils, and experience.

February 12, 2014

Overrides of medication-related clinical decision support alerts in outpatients.

January 8, 2014

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.

October 16, 2013

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

Adherence to drug–drug interaction alerts in high-risk patients: a trial of context-enhanced alerting.

August 7, 2013

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.

June 12, 2013

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Reported medication errors after introducing an electronic medication management system.

April 24, 2013

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

March 13, 2013

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

Prescribing errors in hospital practice.

October 3, 2012

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

September 5, 2012

Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts.

July 25, 2012

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

See More About The Topic

Hospitals

Quality and Safety Professionals

Information Professionals

Organizational Behaviorists

General Internal Medicine

Computerized provider order entry adoption: implications for clinical workflow.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Computerized provider order entry adoption: implications for clinical workflow.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site