A survey of u.s.a. acute care hospitals' computer-based provider order entry system infusion levels

Dean F. Sittig, Ken Guappone, Emily M. Campbell, Richard H. Dykstra, Joan S. Ash

Research output: Chapter in Book/Report/Conference proceedingConference contribution

7 Scopus citations

Abstract

We developed and fielded a survey to help clinical information system designers, developers, and implementers better understand the infusion level, or the extent and sophistication of CPOE feature availability and use by clinicians within acute care hospitals across the United States of America. In the 176 responding hospitals, we found that CPOE had been in place a median of 5 years and that the median percentage of orders entered electronically was 90.5%. Greater than 96% of the sites used CPOE to enter pharmacy, laboratory and imaging orders; 82% were able to access all aspects of the clinical information system with a single sign-on; 86% of the respondents had order sets, drug-drug interaction warnings, and pop-up alerts even though nearly all hospitals were community hospitals with commercial systems; and 90% had a CPOE committee with a clinician representative in place. While CPOE has not been widely adopted after over 30 years of experimentation, there is still much that can be learned from this relatively small number of highly infused (with CPOE and clinical decision support) organizations.

Original languageEnglish (US)
Title of host publicationMEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics
Subtitle of host publicationBuilding Sustainable Health Systems
PublisherIOS Press
Pages252-256
Number of pages5
ISBN (Print)9781586037741
StatePublished - Jan 1 2007
Event12th World Congress on Medical Informatics, MEDINFO 2007 - Brisbane, QLD, Australia
Duration: Aug 20 2007Aug 24 2007

Publication series

NameStudies in Health Technology and Informatics
Volume129
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other12th World Congress on Medical Informatics, MEDINFO 2007
CountryAustralia
CityBrisbane, QLD
Period8/20/078/24/07

Keywords

  • Computer-based Provider Order Entry
  • health services research

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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  • Cite this

    Sittig, D. F., Guappone, K., Campbell, E. M., Dykstra, R. H., & Ash, J. S. (2007). A survey of u.s.a. acute care hospitals' computer-based provider order entry system infusion levels. In MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems (pp. 252-256). (Studies in Health Technology and Informatics; Vol. 129). IOS Press.