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

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

October 15, 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

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

February 22, 2006

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

March 20, 2019

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

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

March 6, 2005

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

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

August 3, 2011

Eight rights of safe electronic health record use.

September 23, 2009

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

January 28, 2015

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

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

March 1, 2017

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

July 13, 2011

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

March 6, 2005

New unintended adverse consequences of electronic health records.

July 19, 2017

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

August 2, 2017

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

November 19, 2014

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

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

November 5, 2014

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

November 1, 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

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

October 16, 2013

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

March 13, 2013

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

January 17, 2018

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

March 13, 2013

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

August 20, 2014

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

August 3, 2016

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

January 25, 2017

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

October 11, 2017

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

June 16, 2010

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

October 18, 2017

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

April 8, 2015

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

July 2, 2014

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

October 17, 2018

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

January 20, 2010

Current challenges in health information technology–related patient safety.

January 16, 2019

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

May 2, 2018

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

May 31, 2006

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

March 17, 2010

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

February 15, 2017

Reducing warfarin medication interactions: an interrupted time series evaluation.

June 14, 2006

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

September 28, 2016

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

November 29, 2017

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

December 3, 2014

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

February 6, 2013

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

September 14, 2016

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

Applying requisite imagination to safeguard electronic health record transitions.

May 18, 2022

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

February 16, 2022

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

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

April 13, 2016

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

Adherence to recommended electronic health record safety practices across eight health care organizations.

May 16, 2018

Problem list completeness in electronic health records: a multi-site study and assessment of success factors.

August 26, 2015

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

October 7, 2009

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

April 21, 2021

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

August 25, 2021

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

November 18, 2020

Structured override reasons for drug–drug interaction alerts in electronic health records.

May 15, 2019

Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review.

October 17, 2018

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

February 1, 2023

Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective.

December 20, 2017

Research designs for studies evaluating the effectiveness of change and improvement strategies.

March 6, 2005

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

November 11, 2020

Clinical data sharing improves quality measurement and patient safety.

March 24, 2021

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.

September 23, 2009

Residents report on adverse events and their causes.

January 4, 2006

Effects of sleep inertia on cognition.

January 25, 2006

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

June 6, 2007

Despite federal legislation, shortages of drugs used in acute care settings remain persistent and prolonged.

May 18, 2016

Development of an "infusion pump safety score".

May 20, 2015

SAFER Electronic Health Records: Safety Assurance Factors for EHR Resilience.

May 13, 2015

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

August 15, 2007

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

January 28, 2009

Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians.

July 18, 2018

Frustrated with your EHR? Don't blame your vendor—safety is a shared responsibility.

December 20, 2017

Assessing patient safety culture: a review and synthesis of the measurement tools.

November 8, 2006

Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs.

August 9, 2017

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

May 28, 2014

Implementing bedside handoff in the emergency department: a practice improvement project.

January 23, 2019

Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program.

February 20, 2008

Tools for primary care patient safety: a narrative review.

November 26, 2014

Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture.

January 31, 2007

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.

July 1, 2009

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

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

August 5, 2009

The gaps in specialists' diagnoses.

April 11, 2018

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

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

What to do with healthcare incident reporting systems.

January 29, 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

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

May 1, 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

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

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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