Implementation Of Computerized Physician Order Entry In Seven Countries

被引：69

作者：

Aarts, Jos ^{[1
]}

Koppel, Ross ^{[2
]}

机构：

[1] Erasmus Univ, Inst Hlth Policy & Management, Rotterdam, Netherlands

[2] Univ Penn, Philadelphia, PA 19104 USA

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 02期

关键词：

UNINTENDED CONSEQUENCES; MEDICATION ERRORS; SYSTEM; US; ADOPTION; PROGRAM; IMPACT; WORLD; EVER;

D O I：

10.1377/hlthaff.28.2.404

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

We review the extent and functionality of computerized physician order entry (CPOE) systems in seven Western countries. We compare nations' implementation levels; linkages with other health care information technologies; amount and types of use by clinicians; drivers of implementation; inclusion of decision-support systems and electronic medical records; and goals (for example, patient safety and efficiency). Implementation of CPOE is slower and more problematic than anticipated (adoption rates are 20 percent or less) and often poorly integrated, inducing new errors and generating frustration with user interfaces and repetitive tasks. Nevertheless, the advantages of CPOE remain compelling. [Health Affairs 28, no. 2 ( 2009): 404-414; 10.1377/hlthaff.28.1.404]

引用

页码：404 / 414

页数：11

共 41 条

[21]

Hodge M., 1990, A history of medical informatics, P328, DOI [10.1145/89482, DOI 10.1145/89482]

[22] The use of health information technology in seven nations [J].

Jha, Ashish K. ;

Doolan, David ;

Grandt, Daniel ;

Scott, Tim ;

Bates, David W. .

INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS, 2008, 77 (12) :848-854

[23] Health information exchange and patient safety [J].

Kaelber, David C. ;

Bates, David W. .

JOURNAL OF BIOMEDICAL INFORMATICS, 2007, 40 (06) :S40-S45

[24]

Kohn LT, 2000, ERR IS HUMAN BUILDIN

[25]

KOPPEL, ROLE COMPUTERIZED PH

[26] What do we know about medication errors made via a CPOE system versus those made via handwritten orders? [J].

Koppel, R .

CRITICAL CARE, 2005, 9 (05) :427-428

[27] Role of computerized physician order entry systems in facilitating medication errors [J].

Koppel, R ;

Metlay, JP ;

Cohen, A ;

Abaluck, B ;

Localio, AR ;

Kimmel, SE ;

Strom, BL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2005, 293 (10) :1197-1203

[28]

Koppel R, 2006, AM J MANAG CARE, V12, P369

[29] ERROR IN MEDICINE [J].

LEAPE, LL .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1994, 272 (23) :1851-1857

[30] Computerized provider order entry and patient safety [J].

Lehmann, Christoph U. ;

Kim, George R. .

PEDIATRIC CLINICS OF NORTH AMERICA, 2006, 53 (06) :1169-+

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