| Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals. | |
| | |
MedLine Citation:
|
PMID: 19502568 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This study compares quality of care measures for hospitals with fully implemented computerized physician order entry (CPOE) systems with hospitals that have not fully implemented such a system. Using a cross-sectional design, this study linked hospital quality data from the Centers for Medicare and Medicaid Services to the Health Information Management Systems Society Analytics database, which contains hospital CPOE adoption information. Performance on quality measures was assessed using univariate and multivariate methods. In all, 8% of hospitals have fully implemented CPOE systems; CPOE hospitals were more frequently larger, not-for-profit, and teaching hospitals. After controlling for confounders, CPOE hospitals outperformed comparison hospitals on 5 of 11 measures related to ordering medications and on 1 of 9 nonmedication-related quality measures. Using a large sample of hospitals, our study found significant positive associations between specific objective quality indicators and CPOE implementation. |
| | |
Authors:
|
Feliciano B Yu; Nir Menachemi; Eta S Berner; Jeroan J Allison; Norman W Weissman; Thomas K Houston |
Related Documents
:
|
7746568 - Integrating quality assessment and improvement. 2078148 - Quality assurance in australian hospitals: who does it and how? 17622018 - Efficiency measurement for hospitals owned by the iranian social security organisation. 18211528 - Rare adverse medical events in va inpatient care: reliability limits to using patient s... 21889748 - The value-added services of hospital-based radiology groups. 8669738 - Analysis of federally imposed penalties for violations of the consolidated omnibus reco... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S. Date: 2009-06-05 |
Journal Detail:
|
Title: American journal of medical quality : the official journal of the American College of Medical Quality Volume: 24 ISSN: 1062-8606 ISO Abbreviation: Am J Med Qual Publication Date: 2009 Jul-Aug |
Date Detail:
|
Created Date: 2009-07-08 Completed Date: 2009-09-22 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9300756 Medline TA: Am J Med Qual Country: United States |
Other Details:
|
Languages: eng Pagination: 278-86 Citation Subset: IM |
Affiliation:
|
Division of Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Children's Health System, 1600 7th Avenue South, Information Technology, Suite 200-14, Birmingham, AL 35233, USA. fyu@peds.uab.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Centers for Medicare and Medicaid Services (U.S.)
/
statistics & numerical data Cross-Sectional Studies Hospital Administration / statistics & numerical data* Humans Medical Order Entry Systems / organization & administration*, statistics & numerical data* Outcome Assessment (Health Care) Pharmacy Service, Hospital / organization & administration, statistics & numerical data Quality Assurance, Health Care / organization & administration*, statistics & numerical data* Quality Indicators, Health Care / statistics & numerical data United States |
| Grant Support | |
ID/Acronym/Agency:
|
1-T32-HS013852/HS/AHRQ HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Compound management beyond efficiency.
Next Document: The Relationship Among Exposure to Stressful Life Events, Drug Use, and Violence Perpetration in a S...