Effect of computerized prescriber order entry on pharmacy: Experience of one health system.
positive expectations about CPOE prior to and during system implementation and continued to hold positive views about CPOE after several months of system use. In interviews and focus group discussions, pharmacists reported a number of important CPOE benefits, but they also cited challenges related t...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 72; no. 2; pp. 133 - 143 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
1/15/2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103753125&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103753125 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 1/15/2015 vid: 72 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 103753125 100784052 10.2146/ajhp140106 NLM25550137 103753125 ppf: 133 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Effect of computerized prescriber order entry on pharmacy: Experience of one health system. aug: au: Mcmullen, Carmit K. Macey, Tara A. Pope, Jill Gugerty, Brian Slot, Marti Lundeen, Peter Ash, Joan Carlson, Neil affil: Investigator, Kaiser Permanente Center for Health Research, Portland, OR. sug: subj: Computers and Computerization Electronic Order Entry Prescriptions, Drug Program Implementation Human Multimethod Studies Descriptive Statistics Michigan Multicenter Studies Pharmacist Attitudes Program Evaluation Questionnaires Interviews Observational Methods Focus Groups Summated Rating Scaling Pretest-Posttest Design Data Analysis Software Field Notes Confidence Intervals Funding Source ab: positive expectations about CPOE prior to and during system implementation and continued to hold positive views about CPOE after several months of system use. In interviews and focus group discussions, pharmacists reported a number of important CPOE benefits, but they also cited challenges related to CPOE provider alerts, uncertainty about medication timing, and the need to support providers by serving as informal CPOE system trainers. Direct observation of pharmacists before and after CPOE implementation indicated decreases in both the rate of order clarification events (from 0.89 to 0.35 per hour, p < 0.001) and the average time spent per hour clarifying orders (from 4.75 to 2.11 minutes, p = 0.008). Conclusion Several months after CPOE implementation, pharmacists indicated that several aspects of their workload had improved, including the process of medication order clarification, their ability to prioritize work, and their ability to move around within the hospital to respond to demand. However, pharmacists also noted that order ambiguity still existed and that the system needed to be optimized to gain efficiencies and increase clarity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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