Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care

Jos Aarts, Joan Ash, Marc Berg

Research output: Contribution to journalArticle

122 Citations (Scopus)

Abstract

Objective: To describe the perceived effect of computerized physician order entry (CPOE) on professional collaboration, workflow and quality of care. Design: Semi-structured interviews with experts involved in the design, implementation and evaluation of computerized physician order systems in the United States. Measurements: The interview transcripts were analyzed using six key concepts that identify context, professional collaboration, workflow and quality of care. Results: The interviews reveal the complexity of CPOE. Although providers enter the orders, others collaborate in the decision-making process. There is a profound impact on workflow beyond that of the provider. While quality of care is the main impetus for implementation, it remains terribly difficult to measure the impact on quality. Conclusions: A proper understanding of CPOE as a collaborative effort and the transformation of the health care activities into integrated care programs requires an understanding of how orders are created and processed, how CPOE as part of an integrated system can support the workflow, and how risks affecting patient care can be identified and reduced, especially during hand-offs in the workflow.

Original languageEnglish (US)
Pages (from-to)4-13
Number of pages10
JournalInternational Journal of Medical Informatics
Volume76
Issue numberSUPPL. 1
DOIs
StatePublished - Jun 2007

Fingerprint

Medical Order Entry Systems
Workflow
Quality of Health Care
Interviews
Decision Making
Patient Care
Hand
Delivery of Health Care
Physicians

Keywords

  • Computerized
  • Computerized physician order entry
  • Hospital information systems
  • Medical records systems
  • Online systems
  • Qualitative research
  • Quality of care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{20751dcd1f0d4fb591fca7389f39077d,
title = "Extending the understanding of computerized physician order entry: Implications for professional collaboration, workflow and quality of care",
abstract = "Objective: To describe the perceived effect of computerized physician order entry (CPOE) on professional collaboration, workflow and quality of care. Design: Semi-structured interviews with experts involved in the design, implementation and evaluation of computerized physician order systems in the United States. Measurements: The interview transcripts were analyzed using six key concepts that identify context, professional collaboration, workflow and quality of care. Results: The interviews reveal the complexity of CPOE. Although providers enter the orders, others collaborate in the decision-making process. There is a profound impact on workflow beyond that of the provider. While quality of care is the main impetus for implementation, it remains terribly difficult to measure the impact on quality. Conclusions: A proper understanding of CPOE as a collaborative effort and the transformation of the health care activities into integrated care programs requires an understanding of how orders are created and processed, how CPOE as part of an integrated system can support the workflow, and how risks affecting patient care can be identified and reduced, especially during hand-offs in the workflow.",
keywords = "Computerized, Computerized physician order entry, Hospital information systems, Medical records systems, Online systems, Qualitative research, Quality of care",
author = "Jos Aarts and Joan Ash and Marc Berg",
year = "2007",
month = "6",
doi = "10.1016/j.ijmedinf.2006.05.009",
language = "English (US)",
volume = "76",
pages = "4--13",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier Ireland Ltd",
number = "SUPPL. 1",

}

TY - JOUR

T1 - Extending the understanding of computerized physician order entry

T2 - Implications for professional collaboration, workflow and quality of care

AU - Aarts, Jos

AU - Ash, Joan

AU - Berg, Marc

PY - 2007/6

Y1 - 2007/6

N2 - Objective: To describe the perceived effect of computerized physician order entry (CPOE) on professional collaboration, workflow and quality of care. Design: Semi-structured interviews with experts involved in the design, implementation and evaluation of computerized physician order systems in the United States. Measurements: The interview transcripts were analyzed using six key concepts that identify context, professional collaboration, workflow and quality of care. Results: The interviews reveal the complexity of CPOE. Although providers enter the orders, others collaborate in the decision-making process. There is a profound impact on workflow beyond that of the provider. While quality of care is the main impetus for implementation, it remains terribly difficult to measure the impact on quality. Conclusions: A proper understanding of CPOE as a collaborative effort and the transformation of the health care activities into integrated care programs requires an understanding of how orders are created and processed, how CPOE as part of an integrated system can support the workflow, and how risks affecting patient care can be identified and reduced, especially during hand-offs in the workflow.

AB - Objective: To describe the perceived effect of computerized physician order entry (CPOE) on professional collaboration, workflow and quality of care. Design: Semi-structured interviews with experts involved in the design, implementation and evaluation of computerized physician order systems in the United States. Measurements: The interview transcripts were analyzed using six key concepts that identify context, professional collaboration, workflow and quality of care. Results: The interviews reveal the complexity of CPOE. Although providers enter the orders, others collaborate in the decision-making process. There is a profound impact on workflow beyond that of the provider. While quality of care is the main impetus for implementation, it remains terribly difficult to measure the impact on quality. Conclusions: A proper understanding of CPOE as a collaborative effort and the transformation of the health care activities into integrated care programs requires an understanding of how orders are created and processed, how CPOE as part of an integrated system can support the workflow, and how risks affecting patient care can be identified and reduced, especially during hand-offs in the workflow.

KW - Computerized

KW - Computerized physician order entry

KW - Hospital information systems

KW - Medical records systems

KW - Online systems

KW - Qualitative research

KW - Quality of care

UR - http://www.scopus.com/inward/record.url?scp=34247179685&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34247179685&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2006.05.009

DO - 10.1016/j.ijmedinf.2006.05.009

M3 - Article

C2 - 16798068

AN - SCOPUS:34247179685

VL - 76

SP - 4

EP - 13

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

IS - SUPPL. 1

ER -