scholarly journals Physicians’ Use of the Computerized Physician Order Entry System for Medication Prescribing: Systematic Review

10.2196/22923 ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. e22923
Author(s):  
Asra Mogharbel ◽  
Dawn Dowding ◽  
John Ainsworth
Keyword(s):  
Computerized Physician Order Entry ◽  
Full Potential ◽  
Order Entry ◽  
Ovid Medline ◽  
Factors Influencing ◽  
Use Of Technology ◽  
Information System Success Model ◽  
Medication Prescribing ◽  
Physician Order Entry

Background Computerized physician order entry (CPOE) systems in health care settings have many benefits for prescribing medication, such as improved quality of patient care and patient safety. However, to achieve their full potential, the factors influencing the usage of CPOE systems by physicians must be identified and understood. Objective The aim of this study is to identify the factors influencing the usage of CPOE systems by physicians for medication prescribing in their clinical practice. Methods We conducted a systematic search of the literature on this topic using four databases: PubMed, CINAHL, Ovid MEDLINE, and Embase. Searches were performed from September 2019 to December 2019. The retrieved papers were screened by examining the titles and abstracts of relevant studies; two reviewers screened the full text of potentially relevant papers for inclusion in the review. Qualitative, quantitative, and mixed methods studies with the aim of conducting assessments or investigations of factors influencing the use of CPOE for medication prescribing among physicians were included. The identified factors were grouped based on constructs from two models: the unified theory of acceptance and use of technology model and the Delone and McLean Information System Success Model. We used the Mixed Method Appraisal Tool to assess the quality of the included studies and narrative synthesis to report the results. Results A total of 11 articles were included in the review, and 37 factors related to the usage of CPOE systems were identified as the factors influencing how physicians used CPOE for medication prescribing. These factors represented three main themes: individual, technological, and organizational. Conclusions This study identified the common factors that influenced the usage of CPOE systems by physicians for medication prescribing regardless of the type of setting or the duration of the use of a system by participants. Our findings can be used to inform implementation and support the usage of the CPOE system by physicians.

scholarly journals Physicians’ Use of the Computerized Physician Order Entry System for Medication Prescribing: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Asra Mogharbel ◽  
Dawn Dowding ◽  
John Ainsworth
Keyword(s):  
Computerized Physician Order Entry ◽  
Full Potential ◽  
Order Entry ◽  
Ovid Medline ◽  
Factors Influencing ◽  
Use Of Technology ◽  
Information System Success Model ◽  
Medication Prescribing ◽  
Physician Order Entry

BACKGROUND Computerized physician order entry (CPOE) systems in health care settings have many benefits for prescribing medication, such as improved quality of patient care and patient safety. However, to achieve their full potential, the factors influencing the usage of CPOE systems by physicians must be identified and understood. OBJECTIVE The aim of this study is to identify the factors influencing the usage of CPOE systems by physicians for medication prescribing in their clinical practice. METHODS We conducted a systematic search of the literature on this topic using four databases: PubMed, CINAHL, Ovid MEDLINE, and Embase. Searches were performed from September 2019 to December 2019. The retrieved papers were screened by examining the titles and abstracts of relevant studies; two reviewers screened the full text of potentially relevant papers for inclusion in the review. Qualitative, quantitative, and mixed methods studies with the aim of conducting assessments or investigations of factors influencing the use of CPOE for medication prescribing among physicians were included. The identified factors were grouped based on constructs from two models: the unified theory of acceptance and use of technology model and the Delone and McLean Information System Success Model. We used the Mixed Method Appraisal Tool to assess the quality of the included studies and narrative synthesis to report the results. RESULTS A total of 11 articles were included in the review, and 37 factors related to the usage of CPOE systems were identified as the factors influencing how physicians used CPOE for medication prescribing. These factors represented three main themes: individual, technological, and organizational. CONCLUSIONS This study identified the common factors that influenced the usage of CPOE systems by physicians for medication prescribing regardless of the type of setting or the duration of the use of a system by participants. Our findings can be used to inform implementation and support the usage of the CPOE system by physicians.

Medication prescribing errors: a pre- and post-computerized physician order entry retrospective study

2018 ◽  
Vol 41 (1) ◽  
pp. 228-236 ◽  
Author(s):  
Naïs Rouayroux ◽  
Violaine Calmels ◽  
Bérengére Bachelet ◽  
Brigitte Sallerin ◽  
Elodie Divol
Keyword(s):  
Retrospective Study ◽  
Computerized Physician Order Entry ◽  
Prescribing Errors ◽  
Order Entry ◽  
Medication Prescribing ◽  
Physician Order Entry

Computerized physician order entry and quality of care

1994 ◽  
Vol 2 (4) ◽  
pp. 18-27 ◽  
Author(s):  
David W. Bates ◽  
Gilad Kuperman ◽  
Jonathan M. Teich
Keyword(s):  
Quality Of Care ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Physician Order Entry

Systematic Update of Computerized Physician Order Entry Order Sets to Improve Quality of Care: A Case Study

PEDIATRICS ◽  
2013 ◽  
Vol 131 (Supplement 1) ◽  
pp. S60-S67 ◽  
Author(s):  
Michael G. Leu ◽  
Sheryl A. Morelli ◽  
Oi-Yan Chung ◽  
Shanon Radford
Keyword(s):  
Quality Of Care ◽  
Computerized Physician Order Entry ◽  
Improve Quality ◽  
Order Entry ◽  
Order Sets ◽  
Physician Order Entry

scholarly journals The impact of a computerized physician order entry system implementation on 20 different criteria of medication documentation—a before-and-after study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Viktoria Jungreithmayr ◽  
Andreas D. Meid ◽  
Janina Bittmann ◽  
Markus Fabian ◽  
Ulrike Klein ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Multivariable Analysis ◽  
Computerized Physician Order Entry ◽  
Care Hospital ◽  
Order Entry ◽  
Significant Difference ◽  
Before And After ◽  
Physician Order Entry ◽  
The Impact

Abstract Background The medication process is complex and error-prone. To avoid medication errors, a medication order should fulfil certain criteria, such as good readability and comprehensiveness. In this context, a computerized physician order entry (CPOE) system can be helpful. This study aims to investigate the distinct effects on the quality of prescription documentation of a CPOE system implemented on general wards in a large tertiary care hospital. Methods In a retrospective analysis, the prescriptions of two groups of 160 patients each were evaluated, with data collected before and after the introduction of a CPOE system. According to nationally available recommendations on prescription documentation, it was assessed whether each prescription fulfilled the established 20 criteria for a safe, complete, and actionable prescription. The resulting fulfilment scores (prescription-Fscores) were compared between the pre-implementation and the post-implementation group and a multivariable analysis was performed to identify the effects of further covariates, i.e., the prescription category, the ward, and the number of concurrently prescribed drugs. Additionally, the fulfilment of the 20 criteria was assessed at an individual criterion-level (denoted criteria-Fscores). Results The overall mean prescription-Fscore increased from 57.4% ± 12.0% (n = 1850 prescriptions) before to 89.8% ± 7.2% (n = 1592 prescriptions) after the implementation (p < 0.001). At the level of individual criteria, criteria-Fscores significantly improved in most criteria (n = 14), with 6 criteria reaching a total score of 100% after CPOE implementation. Four criteria showed no statistically significant difference and in two criteria, criteria-Fscores deteriorated significantly. A multivariable analysis confirmed the large impact of the CPOE implementation on prescription-Fscores which was consistent when adjusting for the confounding potential of further covariates. Conclusions While the quality of prescription documentation generally increases with implementation of a CPOE system, certain criteria are difficult to fulfil even with the help of a CPOE system. This highlights the need to accompany a CPOE implementation with a thorough evaluation that can provide important information on possible improvements of the software, training needs of prescribers, or the necessity of modifying the underlying clinical processes.

Computerized physician order entry and quality of care

1994 ◽  
Vol 2 (4) ◽  
pp. 18-27 ◽  
Author(s):  
David W. Bates ◽  
Gilad Kuperman ◽  
Jonathan M. Teich
Keyword(s):  
Quality Of Care ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Physician Order Entry
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