| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
Implementation Brief |
Affiliation of the authors: The Ohio State University Health Systems, Columbus, Ohio.
Correspondence and reprints: Asif Ahmad, MS, MBA, Chief Information Officer, 1-001, Battelle, 1375 Perry Street, Columbus, OH 43201; e-mail: <Ahmad-1{at}medctr.osu.edu>.
Received for publication: 05/18/01; accepted for publication: 10/09/01.
The benefits of computerized physician order entry have been widely recognized, although few institutions have successfully installed these systems. Obstacles to successful implementation are organizational as well as technical. In the spring of 2000, following a 4-year period of planning and customization, a 9-month pilot project, and a 14-month hiatus for year 2000, the Ohio State University Health System extensively implemented physician order entry across inpatient units. Implementation for specialty and community services is targeted for completion in 2002. On implemented units, all orders are processed through the system, with 80 percent being entered by physicians and the rest by nursing or other licensed care providers. The system is deployable across diverse clinical environments, focused on physicians as the primary users, and accepted by clinicians. These are the three criteria by which the authors measured the success of their implementation. They believe that the availability of specialty-specific order sets, the engagement of physician leadership, and a large-scale system implementation were key strategic factors that enabled physician-users to accept a physician order entry system despite significant changes in workflow.
This article has been cited by other articles:
 |
|
 |
|
  J. L. Callen, J. I. Westbrook, and J. Braithwaite The Effect of Physicians' Long-term Use of CPOE on Their Test Management Work Practices J. Am. Med. Inform. Assoc., November 1, 2006; 13(6): 643 - 652. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Sicotte, G. Pare, M.-P. Moreault, and A. Paccioni A Risk Assessment of Two Interorganizational Clinical Information Systems J. Am. Med. Inform. Assoc., September 1, 2006; 13(5): 557 - 566. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. R. Jacobs, R. J. Brilli, and K. Ward Hart Perceived Increase in Mortality After Process and Policy Changes Implemented With Computerized Physician Order Entry Pediatrics, April 1, 2006; 117(4): 1451 - 1452. [Full Text] [PDF]
|
|
|
|
|
|
J. S. Upperman, P. Staley, K. Friend, J. Benes, J. Dailey, W. Neches, and E. S. Wiener The Introduction of Computerized Physician Order Entry and Change Management in a Tertiary Pediatric Hospital Pediatrics, November 1, 2005; 116(5): e634 - e642. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Rothschild and H. P. Lehmann Information Retrieval Performance of Probabilistically Generated, Problem-Specific Computerized Provider Order Entry Pick-Lists: A Pilot Study J. Am. Med. Inform. Assoc., May 1, 2005; 12(3): 322 - 330. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 G. J. Kuperman and R. F. Gibson Computer Physician Order Entry: Benefits, Costs, and Issues Ann Intern Med, July 1, 2003; 139(1): 31 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. S. Ash, P. N. Gorman, M. Lavelle, T. H. Payne, T. A. Massaro, G. L. Frantz, and J. A. Lyman A Cross-site Qualitative Study of Physician Order Entry J. Am. Med. Inform. Assoc., March 1, 2003; 10(2): 188 - 200. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. R. Hersh Medical Informatics: Improving Health Care Through Information JAMA, October 23, 2002; 288(16): 1955 - 1958. [Full Text] [PDF]
|
|
|
|
|
|
H. S. Mekhjian, R. R. Kumar, L. Kuehn, T. D. Bentley, P. Teater, A. Thomas, B. Payne, and A. Ahmad Immediate Benefits Realized Following Implementation of Physician Order Entry at an Academic Medical Center J. Am. Med. Inform. Assoc., September 1, 2002; 9(5): 529 - 539. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
