Pharmacists' perceptions of computerized prescriber-order-entry systems

Purpose. Computerized prescriber order entry (CPOE) from the pharmacy perspective was examined to determine how well current expectations are being met for facilities with CPOE and the importance of CPOE features for facilities currently without CPOE. Methods. An online survey with 21 variables was developed. Five-point Likert-type scales were used to measure the responses. For those facilities currently with CPOE systems, respondents were asked how well their expectations were being met. Respondents without CPOE were asked to rate the importance of each feature if they were to install CPOE in the future. The respondents were directors or managers of pharmacies in hospitals or health systems. Three types of facilities were examined: freestanding pediatric facilities, adult facilities with pediatric wards, and adult facilities with CPOE. Results. Of 2178 surveys, 662 were usable. Demographics revealed that 17.4% of the respondents currently had CPOE in their facilities. Expectations were somewhat lower than average in facilities with CPOE. Overall satisfaction was rated just above the midpoint of 3, indicating a perception of reduced medication errors from the use of CPOE. Conclusion. Pharmacy directors and managers in hospitals with CPOE reported that expectations for most CPOE features were met at a moderate level. Respondents from facilities with CPOE reported a reduction in medication errors for the prescribing, dispensing, and administrative components of CPOE.