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First published October 26, 2006 as JAMIA PrePrint; doi:10.1197/jamia.M2184
Journal of the American Medical Informatics Association 2007;14(1):41-47
© 2007 American Medical Informatics Association

A more recent version of this article appeared on January 1, 2007
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Submitted on June 20, 2006
Accepted on October 16, 2006

Controversies Surrounding Use of Order Sets for Clinical Decision Support in Computerized Provider Order Entry

Anne M. Bobb BS1*, Thomas H. Payne MD2, and Peter A. Gross MD3

Affiliation of the authors: 1 Department of Quality and Operations, Northwestern Memorial Hospital, Chicago, IL ; 2 Department of Information Technology Services, UW Medicine, University of Washington, Seattle, WA ; 3 Department of Internal Medicine, Hackensack University Medical Center, Hackensack, NJ; Department of Internal Medicine, UMDNJ-New Jersey Medical School, Newark, NJ

* To whom correspondence should be addressed.

Order sets provide straightforward clinical decision support within computerized provider order entry systems. They make the right thing easier to do because they are much faster than writing single orders; they deliver real-time, evidence-based prompts; they are easy to update; and they support coverage of multiple patient problems through linkages among order sets. This viewpoint paper discusses controversies surrounding use of order sets -- advantages and pitfalls, decision making criteria, and organizational considerations, including suggestions for vendors. Order sets have the potential to improve clinician efficiency, provide real-time guidance, facilitate compliance with JCAHO and CMS performance measure sets, and encourage overall acceptance of computerized provider order entry, but may not do so unless these controversies are addressed.




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P. A. Gross and D. W. Bates
A Pragmatic Approach to Implementing Best Practices for Clinical Decision Support Systems in Computerized Provider Order Entry Systems
J. Am. Med. Inform. Assoc., January 1, 2007; 14(1): 25 - 28.
[Abstract] [Full Text] [PDF]


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