Institute for Clinical Systems Improvement
Technology Assessment Report on
Computerized Physician Order Entry
(click to read full report)

Abstract

The recent Institute of Medicine (IOM) report stated that as many as 98,000 deaths may occur in hospitals each year as a result of medical errors. Computerized physician order entry (CPOE) has been proposed for more than 20 years as a means of improving communication within the health care process. The IOM has recommended implementation of CPOE as one strategy for reducing medical errors. CPOE systems may be used for all types of orders (including medication, laboratory, discharge, and nursing orders). Potential benefits include process improvements, support of cost-conscious decisions, clinical decision support, optimization of physician time, and improved patient outcomes. However designing an acceptable user interface is difficult and users must be aware of the limitations of any ordering systems. Successful CPOE requires a redesign of clinical processes and organization-wide commitment.