| The effect of computerized provider order entry on medical students' ability to write orders. | |
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MedLine Citation:
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PMID: 22250938 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Computerized provider order entry (CPOE) is being implemented at increasing numbers of U.S. hospitals, yet the effects of CPOE on medical student education are largely unstudied. PURPOSE: The objective is to investigate the effects of CPOE on medical students' ability to write orders for patients. METHODS: One hundred forty-three medical students who began their Basic Medicine clerkship between March 2003 and April 2004 were asked to write mock admission orders for a patient with pneumonia after the 1st month of their clerkship. Students had spent the month at 1 of 3 hospitals: 1 using CPOE, 1 paper orders, and 1 that began using CPOE midway through this study. Admission orders were scored for the presence of specific orders and features. RESULTS: One hundred twenty students attempted to write admission orders. Students who trained at hospitals using CPOE and those who trained at hospitals using paper orders included expected basic, lifesaving, and higher level orders at similar rates. No significant differences in order clarity or inclusion of unnecessary orders were found for the 2 groups. No significant differences were found when controlling for school year and 4 modifiable rotation features. CONCLUSIONS: When admission order completeness and quality for medical students who trained at hospitals using CPOE were compared to those who trained using handwritten orders, no important differences were found. |
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Authors:
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Amy M Knight; Steven J Kravet; Dmitry Kiyatkin; Bruce Leff |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: Teaching and learning in medicine Volume: 24 ISSN: 1532-8015 ISO Abbreviation: Teach Learn Med Publication Date: 2012 |
Date Detail:
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Created Date: 2012-01-18 Completed Date: 2012-05-11 Revised Date: 2012-05-17 |
Medline Journal Info:
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Nlm Unique ID: 8910884 Medline TA: Teach Learn Med Country: United States |
Other Details:
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Languages: eng Pagination: 63-70 Citation Subset: IM |
Affiliation:
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Department of Medicine, Johns Hopkins University, Baltimore, Maryland, USA. aknight@jhmi.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chi-Square Distribution Clinical Clerkship / methods* Clinical Competence* Communication Female Humans Logistic Models Male Medical Order Entry Systems* Patient Admission Self Report Students, Medical* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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