CPOEPaperWeek3

Topics: Pharmacology, Decision support system, Medicine Pages: 5 (420 words) Published: December 14, 2014
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Computerized Physician Order Entries
Nicole Moon
November 30, 2014
HCIS/255
Kathleen Samuel

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Computerized physician order entry, or CPOE, is defined as the process of a medical professional entering medication orders or other physicians instructions electronically instead of on a paper form chart. A physician’s use of computerized assistance to enter, directly, medical orders such as; medications, consultations with other providers, lab results, imaging, and other auxiliary services from a computer or mobile device, which are then saved to the patients files electronically.

There are three very important benefits to CPOE. They are to improve medication safety, reduce unnecessary variation in care, and to improve the efficiency of care delivery. CPOE is also beneficial to the medical world because it allows for less medical errors related to poor handwriting or transcription of medicated orders.

CPOE systems are generally paired with some type of Clinical Decision Support System, or CDSS. A typical CDSS could or would suggest default doses for some drugs, administrative routes, and or even off more sophisticated drug safety features. This would include; drug allergies, or drug to drug, or drug to

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laboratory. That means it would warn a clinician before ordering any medications, that do not seem to fit the patients health records. At all costs the CDSS works with the CPOE to prevent not only errors of ordering prescriptions, or ordering the wrong prescription, but also of omission. In theory, CPOE offers numerous advantages over traditional paper-based order-writing systems. Examples of these advantages include averting problems with handwriting, similar drug names, drug interactions, and specification errors; integration with electronic medical records, decision support systems, and adverse drug event reporting systems; faster transmission to the pharmacy; and potential economic savings.

These proposed benefits have been empirically confirmed to some extent, and recent studies have added to the evidence base supporting CPOE. Initial studies of CPOE systems were generally single-institution studies using "home-grown" systems; these studies did demonstrate significant reductions in adverse drug events. A recent review found reductions in medication errors, but the effect on clinical outcomes was unclear. Indirect support for the clinical benefits of CPOE was provided by a

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study in which CPOE implementation was associated with reduced mortality and complication rates.

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References

Gartee, R. (2012). Electronic Health Records: Understanding and Using Computerized Medical Records (2nd ed.). : Pearson Education Inc.

Computerized Provider Order Entry Systems. (2010). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11696968

Computerized Physician Order Entry Designed for Meaningful Physician Use. (2008-2014). Retrieved from http://www.patientkeeper.com/clinical-solutions/cpoe.html

References: Gartee, R. (2012). Electronic Health Records: Understanding and Using Computerized Medical Records (2nd ed.). : Pearson Education Inc.
Computerized Provider Order Entry Systems. (2010). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/11696968
Computerized Physician Order Entry Designed for Meaningful Physician Use. (2008-2014). Retrieved from http://www.patientkeeper.com/clinical-solutions/cpoe.html
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