Healthy Skepticism Library item: 5371

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Poon EG, Blumenthal D, Jaggi T, Honour MM, Bates DW, Kaushal R.
Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S Hospitals
Health Aff. 2004; 23:184-190
http://content.healthaffairs.org/cgi/content/full/23/4/184

Abstract:

Few U.S. hospitals have implemented computerized physician order entry (CPOE) in spite of its effectiveness at preventing serious medication errors. We interviewed senior management at twenty-six hospitals to identify ways to overcome barriers to adopting and implementing CPOE. Within the hospital, strong leadership and high-quality technology were critical. Hospitals that placed a high priority on patient safety could more easily justify the cost of CPOE. Outside the hospital, financial incentives and public pressures encouraged CPOE adoption. Dissemination of data standards would accelerate the maturation of vendors and lower CPOE costs. These findings highlight several policy levers to speed the adoption of this important patient safety technology.

Keywords:
Attitude of Health Personnel* Attitude to Computers* Data Collection Diffusion of Innovation* Health Services Research Humans Medical Errors/prevention & control Medical Records Systems, Computerized* Organizational Innovation Physician's Practice Patterns Physicians/psychology* Policy Making Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S. United States