Definition
To replace paper, computerized provider order entry (CPOE) systems allow providers such as physicians, nurse practitioners, or other ordering authorities to electronically order medications, tests, or other medical procedures for an individual patient (Taieb-Maimon et al. 2018). In hospital setting, this term tends to be used instead of e-prescribing which usually refers to electronic prescription of medications, because the scope of CPOE is broader than e-prescribing. It may also include other types of medical orders (Ahmed et al. 2016).
Overview
Globally, CPOE has been taken up by many countries such as the USA, Australia, Canada, and England (Samadbeik et al. 2017; Scott et al. 2018), with majority of research evidence from the USA (Scott et al. 2018). In the USA, 77% of all prescriptions were completed electronically in 2017 (Surescripts 2017).
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References
Adams M, Bates D, Coffman G et al (2008) Saving lives, saving money: The imperative for computerised physician order entry in Massachusetts hospitals. Massachusetts Technology Collaborative and New England Healthcare Institute, Massachusetts
Ahmed Z, Garfield S, Jani Y et al (2016) Impact of electronic prescribing on patient safety in hospitals: Implications for the UK. Clin Pharm 8(5):144–151. https://doi.org/10.1211/CP.2016.20201013
Ash JS, Gorman PN, Seshadri V et al (2004) Computerised physician order entry in US hospitals: results of a 2002 survey. J Am Med Inform Assoc 11(2):95–99. https://doi.org/10.1197/jamia.M1427
Ash JS, Sittig DF, Campbell EM et al (2007) Some unintended consequences of clinical decision support systems. AMIA Annu Symp Proc:26–30
Bhavsar GP, Probst JC, Bennett KJ et al (2017) Community-level electronic prescribing and adverse drug event hospitalisations among older adults. Health Inform J:1–15. https://doi.org/10.1177/1460458217720396
Bollen C, Warren JR, Whenan G (2005) Introduction of electronic prescribing in an aged care facility. Aust Fam Physician 34(4):283–287
Castlight and Leapfrog (2016) Preventing medication errors in hospitals. https://www.leapfroggroup.org/sites/default/files/Files/Leapfrog-Castlight%20Medication%20Safety%20Report.pdf. Accessed on 14 Feb 2019
Centers for Medicare & Medicaid Services (2018) Electronic prescribing (eRx) incentive program. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ERxIncentive/index.html. Accessed 11 Feb 2019
Charles K, Cannon M, Hall R et al (2014) Can utilising a computerised provider order entry (CPOE) system prevent hospital medical errors and adverse drug events? Perspect Health Inf Manag 11(Fall):1b
Clyne B, Bradley MC, Hughes C et al (2012) Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. Clin Geriatr Med 28(2):301–322. https://doi.org/10.1016/j.cger.2012.01.009
Dalton K, O’Brien G, O’Mahony D et al (2018) Computerised interventions designed to reduce potentially inappropriate prescribing in hospitalised older adults: a systematic review and meta-analysis. Age Ageing 47(5):670–678. https://doi.org/10.1093/ageing/afy086
Elliott RA, Lee CY, Hussainy SY (2016) Electronic prescribing and medication management at a residential aged care facility. Appl Clin Inform 7(01):116–127. https://doi.org/10.4338/ACI-2015-08-RA-0098
Graber ML, Siegal D, Riah H et al (2015) Electronic health record-related events in medical malpractice claims. J Patient Saf. https://doi.org/10.1097/PTS.0000000000000240
Green JL, Hawley JN, Rask KJ (2007) Is the number of prescribing physicians an independent risk factor for adverse drug events in an elderly outpatient population? Am J Geriatr Pharmacother 5(1):31–39. https://doi.org/10.1016/j.amjopharm.2007.03.004
Hamilton H, Gallagher P, Ryan C et al (2011) Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalised patients. Arch Intern Med 171(11):1013–1019. https://doi.org/10.1001/archinternmed.2011.215
HealthTechZone (2018) Electronic prescribing moving toward optimisation. http://www.healthtechzone.com/topics/healthcare/articles/2018/11/05/440147-electronic-prescribing-moving-toward-optimization.htm. Accessed 10 Feb 2019
Kruse CS, Goetz K (2015) Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst 39(2):15. https://doi.org/10.1007/s10916-015-0198-2
Lucado J, Paez K, Elixhauser A (2006) Medication-related adverse outcomes in US hospitals and emergency departments, 2008. In: Healthcare cost and utilisation project (HCUP) statistical briefs [internet]. Agency for Healthcare Research and Quality (US), Rockville, pp 1–17
Mattison ML, Afonso KA, Ngo LH et al (2010) Preventing potentially inappropriate medication use in hospitalised older patients with a computerised provider order entry warning system. Arch Intern Med 170(15):1331–1336. https://doi.org/10.1001/archinternmed.2010.244
Morgan SG, Hunt J, Rioux J et al (2016) Frequency and cost of potentially inappropriate prescribing for older adults: a cross-sectional study. CMAJ open 4(2):E346–E351. https://doi.org/10.9778/cmajo.20150131
Nebeker JR, Hoffman JM, Weir CR et al (2005) High rates of adverse drug events in a highly computerised hospital. Arch Intern Med 165(10):1111–1116. https://doi.org/10.1001/archinte.165.10.1111
OHSU (2015) History of computerised physician order entry. http://clinfowiki.org/wiki/index.php/History_of_computerized_physician_order_entry. Accessed 10 Feb 2019
Qian S, Yu P, Hailey DM et al (2016) Factors influencing nursing time spent on administration of medication in an Australian residential aged care home. J Nurs Manag 24(3):427–434. https://doi.org/10.1111/jonm.12343
Riedmann D, Jung M, Hackl WO et al (2011) Development of a context model to prioritise drug safety alerts in CPOE systems. BMC Med Inform Decis Mak 11(1):35. https://doi.org/10.1186/1472-6947-11-35
Rochon PA, Field TS, Bates DW et al (2005) Computerised physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. J Am Geriatr Soc 53(10):1780–1789. https://doi.org/10.1111/j.1532-5415.2005.53515.x
Samadbeik M, Ahmadi M, Sadoughi F et al (2017) A comparative review of electronic prescription systems: lessons learned from developed countries. J Res Pharm Pract 6(1):3–11. https://doi.org/10.4103/2279-042X.200993
Samaranayake N, Cheung S, Chui W et al (2012) Technology-related medication errors in a tertiary hospital: a 5-year analysis of reported medication incidents. Int J Med Inform 81(12):828–833. https://doi.org/10.1016/j.ijmedinf.2012.09.002
Schleiden LJ, Odukoya OK, Chui MA (2015) Older adults’ perceptions of e-prescribing: impact on patient care. Perspect Health Inf Manag 12(Winter):1d
Scott IA, Pillans PI, Barras M et al (2018) Using EMR-enabled computerised decision support systems to reduce prescribing of potentially inappropriate medications: A narrative review. Ther Adv Drug Saf 9(9):559–573. https://doi.org/10.1177/2042098618784809
Stafford AC, Alswayan MS, Tenni PC (2011) Inappropriate prescribing in older residents of Australian care homes. J Clin Pharm Ther 36(1):33–44. https://doi.org/10.1111/j.1365-2710.2009.01151.x
StratisHealth (2009) Optimisation strategies for CPOE and e-prescribing. https://www.stratishealth.orgdocuments/HITToolkitHospital/2.Utilize/2.2Effective%20Use/2.2Optimization_Strategies_for_CPOE.doc. Accessed on 14 May 2019.
Stürzlinger H, Hiebinger C, Pertl D et al (2009) Computerised physician order entry-effectiveness and efficiency of electronic medication ordering with decision support systems. GMS Health Technol Assess 5:Doc07. https://doi.org/10.3205/hta000069
Subramanian S, Hoover S, Gilman B et al (2007) Computerised physician order entry with clinical decision support in long-term care facilities: Costs and benefits to stakeholders. J Am Geriatr Soc 55(9):1451–1457. https://doi.org/10.1111/j.1532-5415.2007.01304.x
Surescripts (2017) 2017 National progress report. Surescripts, Arlington
Taieb-Maimon M, Plaisant C, Hettinger AZ et al (2018) Increasing recognition of wrong-patient errors through improved interface design of a computerised provider order entry system. Int J Hum Comput Interact 34(5):383–398. https://doi.org/10.1080/10447318.2017.1349249
Tommelein E, Mehuys E, Petrovic M et al (2016) Potentially inappropriate prescribing in nursing home residents detected with the community pharmacist specific GheOP(3)S-tool. Int J Clin Pharm 38(5):1063–1068. https://doi.org/10.1007/s11096-016-0366-6
Van Der Sijs H, Aarts J, Vulto A et al (2006) Overriding of drug safety alerts in computerised physician order entry. J Am Med Inform Assoc 13(2):138–147. https://doi.org/10.1197/jamia.M1809
Vanderman AJ, Moss JM, Bryan WE III et al (2017) Evaluating the impact of medication safety alerts on prescribing of potentially inappropriate medications for older veterans in an ambulatory care setting. J Pharm Pract 30(1):82–88. https://doi.org/10.1177/0897190015621803
Vélez-Díaz-Pallarés M, Díaz AMÁ, Caro TG et al (2017) Technology-induced errors associated with computerised provider order entry software for older patients. Int J Clin Pharm 39(4):729–742. https://doi.org/10.1007/s11096-017-0474-y
Von Laue NC, Schwappach DL, Koeck CM (2003) The epidemiology of preventable adverse drug events: a review of the literature. Wien Klin Wochenschr 115(12):407–415. https://doi.org/10.1007/BF03040432
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Qian, S. (2019). Computerized Provider Order Entry. In: Gu, D., Dupre, M. (eds) Encyclopedia of Gerontology and Population Aging. Springer, Cham. https://doi.org/10.1007/978-3-319-69892-2_444-1
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DOI: https://doi.org/10.1007/978-3-319-69892-2_444-1
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