Encyclopedia of Database Systems

2018 Edition
| Editors: Ling Liu, M. Tamer Özsu

Computerized Physician Order Entry

  • Michael Weiner
Reference work entry
DOI: https://doi.org/10.1007/978-1-4614-8265-9_75

Synonyms

Computer-based physician order entry; Computer-based provider order entry; Computerized provider order entry; Computerized order entry (COE); Physician order entry

Definition

In daily medical practice, physicians routinely create plans of diagnosis and treatment for their patients. These plans typically contain specific, formal orders – directives – that are expected to be implemented by other medical professionals, such as nurses or personnel at laboratories or pharmacies. When such personnel are expected to implement part of a physician’s diagnosis or treatment plan, corresponding orders must be created and documented in the patient’s medical record. Physicians have traditionally used paper-based charting systems to record medical orders.

Computerized physician order entry(CPOE) is a process by which physicians directly enter medical orders into a computer. CPOE is typically done when the computer is being used to access an electronic health record (EHR), and the physician...

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Recommended Reading

  1. 1.
    Agency for Healthcare Research and Quality. AHRQ National Resource Center for Health Information Technology. 2007. Available online at: http://healthit.ahrq.gov. Accessed 29 Aug 2007.
  2. 2.
    Ash JS, Gorman PN, Seshadri V, Hersh WR. Computerized physician order entry in U.S. hospitals: results of a 2002 survey. J Am Med Inform Assoc. 2004;11(2):95–9.CrossRefGoogle Scholar
  3. 3.
    Bates DW, Boyle DL, Teich JM. Impact of computerized physician order entry on physician time. In: Proceedings of the Annual Symposium on Computer Applications in Medical Care; 1994. p. 996.Google Scholar
  4. 4.
    Bates DW, Leape LL, Cullen DJ, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280(15):1311–6.CrossRefGoogle Scholar
  5. 5.
    Campbell EM, Sittig DF, Ash JS, Guappone KP, Dykstra RH. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):547–56.CrossRefGoogle Scholar
  6. 6.
    Certification Commission for Healthcare Information Technology. 2007. Available online at: http://www.cchit.org. Accessed 29 Aug 2007.
  7. 7.
    Frankel R, Altschuler A, George S, et al. Effects of exam-room computing on clinician-patient communication: a longitudinal qualitative study. J Gen Intern Med. 2005;20(8):677–82.CrossRefGoogle Scholar
  8. 8.
    Geissbuhler A, Miller RA. A new approach to the implementation of direct care-provider order entry. In: Proceedings of the AMIA Annual Fall Symposium; 1996. p. 689–93.Google Scholar
  9. 9.
    Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: The National Academies Press; 2001.Google Scholar
  10. 10.
    Koppel R, Metlay JP, Cohen A, et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA. 2005;293(10):1197–203.CrossRefGoogle Scholar
  11. 11.
    Kuperman GJ, Bobb A, Payne TH, et al. Medication-related clinical decision support in computerized provider order entry systems: a review. J Am Med Inform Assoc. 2007;14(1):29–40.CrossRefGoogle Scholar
  12. 12.
    Massaro TA. Introducing physician order entry at a major academic medical center: I. Impact on organizational culture and behavior. Acad Med. 1993;68(1):20–5.CrossRefGoogle Scholar
  13. 13.
    Miller RA, Gardner RM, Johnson KB, Hripcsak G. Clinical decision support and electronic prescribing systems: a time for responsible thought and action. J Am Med Inform Assoc. 2005;12(4):403–9.CrossRefGoogle Scholar
  14. 14.
    Overhage JM, Mamlin B, Warvel J, Warvel J, Tierney W, McDonald CJ. A tool for provider interaction during patient care: G-CARE. In: Proceedings of the Annual Symposium on Computer Applications in Medical Care; 1995. p. 178–82.Google Scholar
  15. 15.
    Overhage JM, Perkins S, Tierney WM, McDonald CJ. Controlled trial of direct physician order entry: effects on physicians’ time utilization in ambulatory primary care internal medicine practices. J Am Med Inform Assoc. 2001;8(4):361–71.CrossRefGoogle Scholar
  16. 16.
    Payne TH. The transition to automated practitioner order entry in a teaching hospital: the VA Puget Sound experience. In: Proceedings of the AMIA Annual Symposium; 1999. p. 589–93.Google Scholar
  17. 17.
    Sittig DF, Stead WW. Computer-based physician order entry: the state of the art. J Am Med Inform Assoc. 1994;1(2):108–23.CrossRefGoogle Scholar
  18. 18.
    Teich JM, Osheroff JA, Pifer EA, Sittig DF, Jenders RA. Clinical decision support in electronic prescribing: recommendations and an action plan: report of the joint clinical decision support workgroup. J Am Med Inform Assoc. 2005;12(4):365–76.CrossRefGoogle Scholar
  19. 19.
    Weiner M, Biondich P. The influence of information technology on patient-physician relationships. J Gen Intern Med. 2006;21(Suppl 1):S35–9.CrossRefGoogle Scholar
  20. 20.
    Weir C, Lincoln M, Roscoe D, Turner C, Moreshead G. Dimensions associated with successful implementation of a hospital based integrated order entry system. In: Proceedings of the Annual Symposium on Computer Applications in Medical Care; 1994. p. 653–7.Google Scholar
  21. 21.
    Wells S, Ashton T, Jackson R. Electronic clinical decision support. 2005. Updated Oct 2005. Available via Internet at: http://www.hpm.org/nz/a6/2.pdf. Accessed 7 Aug 2014.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Regenstrief Institute, Inc.Indiana University School of MedicineIndianapolisUSA

Section editors and affiliations

  • Vipul Kashyap
    • 1
  1. 1.Clinical ProgramsCIGNA HealthcareBloomfieldUSA