Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

Naeem A. Ali; Hagop S. Mekhjian; Lynn Kuehn; Thomas D. Bentley; Rajee Kumar; Amy K. Ferketich; Stephen P. Hoffmann

Study

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

April 21, 2005

Ali NA, Mekhjian HS, Kuehn L, et al. Crit Care Med. 2005;33(1):110-114.

View more articles from the same authors.

The authors sought to assess the effect of computerized provider order entry (CPOE) in intensive care units. They found that appropriate use of CPOE systems could improve efficiency in patient care.

PubMed citation

Available at

Related Resources From the Same Author(s)

The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care.

August 24, 2005

Preventable harm occurring to critically ill children.

September 5, 2007

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

Physician reporting of clinically significant events through a computerized patient sign-out system.

September 14, 2011

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

September 7, 2005

Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events.

September 7, 2005

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders.

May 4, 2022

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Effect of burnout among physicians on observed adverse patient outcomes: a literature review.

June 16, 2021

Clinical alarms: improving efficiency and effectiveness.

November 9, 2005

Accidental iatrogenic pneumothorax in hospitalized patients.

March 15, 2006

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Quantifying nursing workflow in medication administration.

January 9, 2008

Patient safety and quality improvement adaptation during the COVID-19 pandemic.

April 21, 2021

The neurologist and patient safety.

May 11, 2005

Multispecialty physician online survey reveals that burnout related to adverse event involvement may be mitigated by peer support.

May 18, 2022

Cause and effect analysis of closed claims in obstetrics and gynecology.

May 18, 2005

Impact of computerised physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review.

April 7, 2021

Adverse events in intensive care and continuing care units during bed-bath procedures: the prospective observational NURSIng during critical carE (NURSIE) study.

December 23, 2020

Effect on patient safety of a resident physician schedule without 24-hour shifts.

July 15, 2020

A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients.

July 15, 2015

Association between parent comfort with English and adverse events among hospitalized children.

November 11, 2020

Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program.

November 23, 2005

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Hospital computerized provider order entry adoption and quality: an examination of the United States.

January 5, 2011

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Detecting patient deterioration using artificial intelligence in a rapid response system.

March 25, 2020

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

A look into the nature and causes of human errors in the intensive care unit.

March 27, 2005

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

November 9, 2011

Work-arounds in health care settings: literature review and research agenda.

January 16, 2008

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States.

July 22, 2015

National improvements in resident physician-reported patient safety after limiting first-year resident physicians' extended duration work shifts: a pooled analysis of prospective cohort studies.

May 25, 2022

The impact of health system membership on patient safety initiatives.

January 9, 2008

The effect of automated alerts on provider ordering behavior in an outpatient setting.

September 21, 2005

Preventing home medication administration errors.

March 14, 2022

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.

November 7, 2007

The relationship of organizational culture, stress, satisfaction, and burnout with physician-reported error and suboptimal patient care: results from the MEMO study.

August 15, 2007

Early warning systems: the next level of rapid response.

January 25, 2012

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Nurses' influence on consumers' experience of safety in acute mental health units: a qualitative study.

December 16, 2020

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review.

March 10, 2021

Developing critical thinking skills for delivering optimal care

July 28, 2021

Using smart IV infusion pumps outside of patient rooms.

February 2, 2022

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Assessing patient safety in the United States: challenges and opportunities.

April 3, 2005

Impact of digitally acquired peer diagnostic input on diagnostic confidence in outpatient cases: a pragmatic randomized trial.

December 2, 2020

A systematic review of nursing practice workarounds.

October 19, 2022

Think twice: effects on diagnostic accuracy of returning to the case to reflect upon the initial diagnosis.

September 23, 2020

Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative.

January 1, 2022

The influence of the structure and culture of medical group practices on prescription drug errors.

August 31, 2005

Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement.

February 1, 2012

Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory failure survivors: a multicenter prospective cohort study.

February 15, 2023

A 3-year study of medication incidents in an acute general hospital.

April 23, 2008

Readiness to report medical treatment errors: the effects of safety procedures, safety information, and priority of safety.

February 8, 2006

Communication in health care: impact of language and accent on health care safety, quality, and patient experience.

August 4, 2021

Management and patient safety of complex elderly patients in primary care during the COVID-19 pandemic in the UK-Qualitative assessment.

April 14, 2021

Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: a multinational survey.

November 17, 2021

Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members.

December 8, 2021

Factors associated with malpractice claim payout: an analysis of closed emergency department claims.

July 13, 2022

Cleaning up the discharge process: a number of components—and personnel—are crucial to success.

October 20, 2010

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

Dissemination of Lean methods to improve Pap testing quality and patient safety.

April 8, 2008

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

Critical care clinicians' experiences of patient safety during the COVID-19 pandemic.

November 30, 2022

What is the return on investment for implementation of a crew resource management program at an academic medical center?

October 14, 2015

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS).

June 26, 2019

Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members.

September 7, 2011

Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients.

December 14, 2005

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

The effect of race and sex on physicians' recommendations for cardiac catheterization.

July 15, 2002

Competition and health plan performance: evidence from health maintenance organization insurance markets.

April 27, 2005

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.

February 9, 2022

Wrong-patient orders in obstetrics.

July 28, 2021

Information concerning ICU patients’ families in the handover—the clinicians’ “game of whispers”: a qualitative study.

October 14, 2020

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

Improving hospital systems for the care of women with major obstetric hemorrhage.

May 17, 2006

Rolling out the rapid response team.

June 1, 2011

Pediatric prehospital medication dosing errors: a national survey of paramedics.

March 29, 2017

Using clinical simulation to teach patient safety in an acute/critical care nursing course.

August 3, 2005

Safety risks and workflow implications associated with nursing-related free-text communication orders.

March 15, 2023

Physicians' experiences with mistreatment and discrimination by patients, families, and visitors and association with burnout.

June 1, 2022

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.

April 28, 2021

Medication order errors at hospital admission among children with medical complexity

July 8, 2020

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Effects of CPOE-based medication ordering on outcomes: an overview of systematic reviews.

July 8, 2020

Physician task load and the risk of burnout among US physicians in a national survey.

December 2, 2020

Patient misidentification events in the Veterans Health Administration: a comprehensive review in the context of high-reliability health care.

October 21, 2020

The costs associated with adverse drug events among older adults in the ambulatory setting.

December 7, 2005

Not overstepping professional boundaries: the challenging role of nurses in simulated error disclosures.

September 21, 2011

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017.

April 21, 2021

I-PASS illness diversity identifies patients at risk for overnight clinical deterioration.

December 2, 2020

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

December 19, 2012

Related Resources

WebM&M Cases

A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion.

July 31, 2023

WebM&M Cases

An Inadvertent Bolus of Norepinephrine.

May 26, 2021

The effect of blue-enriched lighting on medical error rate in a university hospital ICU.

January 27, 2021

Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting.

September 18, 2019

What's in a name? Provider perception of injured John Doe patients.

April 3, 2019

Evaluation of a measurement system to assess ICU team performance.

January 23, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Effects of a multimodal program including simulation on job strain among nurses working in intensive care units: a randomized clinical trial.

November 7, 2018

Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.

October 3, 2018

Patient outcomes after the introduction of statewide ICU nurse staffing regulations.

September 26, 2018

Perceptions of rounding checklists in the intensive care unit: a qualitative study.

May 9, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Case not closed: prescription errors 12 years after computerized physician order entry implementation.

January 31, 2018

Nursing interruptions in a trauma intensive care unit: a prospective observational study.

May 3, 2017

Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis.

April 26, 2017

February 8, 2017

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Inattentional blindness and failures to rescue the deteriorating patient in critical care, emergency and perioperative settings: four case scenarios.

December 7, 2016

Delayed recognition of deterioration of patients in general wards is mostly caused by human related monitoring failures: a root cause analysis of unplanned ICU admissions.

September 7, 2016

Safe implementation of standard concentration infusions in paediatric intensive care.

August 24, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

'Providing good and comfortable care by building a bond of trust': nurses views regarding their role in patients' perception of safety in the intensive care unit.

November 11, 2015

Higher quality of care and patient safety associated with better NICU work environments.

September 2, 2015

Understanding the nature of medication errors in an ICU with a computerized physician order entry system.

February 11, 2015

Improving medication administration safety: using naïve observation to assess practice and guide improvements in process and outcomes.

January 7, 2015

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.

November 26, 2014

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

November 19, 2014

Indication alerts intercept drug name confusion errors during computerized entry of medication orders.

September 3, 2014

Interventions to reduce medication errors in pediatric intensive care.

August 20, 2014

Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle.

August 20, 2014

See More About The Topic

Computerized Provider Order Entry (CPOE)

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

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