COMMENTARY

Computerized Physician Order Entry: Fallible, Not Foolproof

Linda Timm Wagner, PharmD; Charlotte A. Kenreigh, PharmD

Disclosures

November 17, 2005

In This Article

Factors Associated With the Success of CPOE

Some published reports have targeted specific factors that facilitate the appropriate use of CPOE. These success factors were evaluated in a multicenter qualitative study conducted by researchers at the Oregon Health and Science University.[12] The study was conducted over a 7-year period.

On the basis of their investigations, the researchers found the following principles for successful CPOE implementation, classified into 4 broad categories: computer technology principles (ability to meet information needs, ability to customize, costs); personal principles (perceived value to users and tradeoffs, training and support); organizational principles (collaborative project management, improvement through evaluation and learning); and environmental principles (motivation and context for implementing systems).

The authors suggest that CPOE implementations have both an upside and a downside. Organizations that implement the technology with the least difficulty are able to maximize the successes and minimize the stresses by effectively managing unintended or unforeseen obstacles.[12] Other studies have suggested that before CPOE systems can be effectively developed and implemented, workflow and decision support processes need to be studied.[13,14]

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