A Ozdas1, R A Miller. 1. Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA. asli.ozdas@vanderbilt.edu
Abstract
OBJECTIVE: Authors provide a perspective on factors leading to successful care provider order entry (CPOE) implementations. METHODS: Viewpoint of authors supported by background literature review. RESULTS: Authors review both benefits and challenges related to CPOE implementation using three guiding principles: (1) a clinical approach to clinical systems, which claims that CPOE implementation is analogous to a "good" clinician delivering care to a patient; (2) a commitment to quality, which advocates that no compromises should be made in implementing system functionality and clinical system content - the highest objective for CPOE implementation is to provide better quality of care and increased safety for patients; (3) a commitment to fairness, as evidenced by respect for individuals and support of local autonomy, which advocates for minimizing disruptions to clinician-users' workflows, and adequate local control over CPOE system design and evolution, including clinical content management. CONCLUSIONS: Past experiences with CPOE implementation can inform future installation attempts. Sociocultural factors dominate in determining the success of implementation, and should govern technical factors.
OBJECTIVE: Authors provide a perspective on factors leading to successful care provider order entry (CPOE) implementations. METHODS: Viewpoint of authors supported by background literature review. RESULTS: Authors review both benefits and challenges related to CPOE implementation using three guiding principles: (1) a clinical approach to clinical systems, which claims that CPOE implementation is analogous to a "good" clinician delivering care to a patient; (2) a commitment to quality, which advocates that no compromises should be made in implementing system functionality and clinical system content - the highest objective for CPOE implementation is to provide better quality of care and increased safety for patients; (3) a commitment to fairness, as evidenced by respect for individuals and support of local autonomy, which advocates for minimizing disruptions to clinician-users' workflows, and adequate local control over CPOE system design and evolution, including clinical content management. CONCLUSIONS: Past experiences with CPOE implementation can inform future installation attempts. Sociocultural factors dominate in determining the success of implementation, and should govern technical factors.
Authors: Michael F Chiang; Sarah Read-Brown; Daniel C Tu; Dongseok Choi; David S Sanders; Thomas S Hwang; Steven Bailey; Daniel J Karr; Elizabeth Cottle; John C Morrison; David J Wilson; Thomas R Yackel Journal: Trans Am Ophthalmol Soc Date: 2013-09
Authors: G A Gellert; V Hill; K Bruner; G Maciaz; L Saucedo; L Catzoela; R Ramirez; W J Jacobs; P Nguyen; L Patel; S L Webster Journal: Appl Clin Inform Date: 2015-12-02 Impact factor: 2.342