Document Detail

The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review.
MedLine Citation:
PMID:  19390113     Owner:  NLM     Status:  MEDLINE    
Previous studies have shown the importance of workflow issues in the implementation of CPOE systems and patient safety practices. To understand the impact of CPOE on clinical workflow, we developed a conceptual framework and conducted a literature search for CPOE evaluations between 1990 and June 2007. Fifty-one publications were identified that disclosed mixed effects of CPOE systems. Among the frequently reported workflow advantages were the legible orders, remote accessibility of the systems, and the shorter order turnaround times. Among the frequently reported disadvantages were the time-consuming and problematic user-system interactions, and the enforcement of a predefined relationship between clinical tasks and between providers. Regarding the diversity of findings in the literature, we conclude that more multi-method research is needed to explore CPOE's multidimensional and collective impact on especially collaborative workflow.
Zahra Niazkhani; Habibollah Pirnejad; Marc Berg; Jos Aarts
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Publication Detail:
Type:  Journal Article; Review     Date:  2009-04-23
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  16     ISSN:  1067-5027     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-07-03     Completed Date:  2009-09-03     Revised Date:  2013-06-02    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  539-49     Citation Subset:  IM    
Institute of Health Policy and Management, Erasmus University Medical Center, Rotterdam, The Netherlands.
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MeSH Terms
Efficiency, Organizational*
Evaluation Studies as Topic
Hospital Administration*
Interprofessional Relations
Medical Order Entry Systems*
User-Computer Interface

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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