ABSTRACT
Computerized Provider Order Entry (CPOE) has been demonstrated to improve the medication ordering process, but most published studies have been performed at academic hospitals. Little is known about the effects of CPOE at community hospitals. With a pre-post study design, we assessed the effects of a CPOE system on the medication ordering process at both a community and university hospital. The time from provider ordering to pharmacist verification decreased by two hours with CPOE at the community hospital (p<0.0001) and by one hour at the university hospital (p<0.0001). The rate of medication clarifications requiring signature was 2.80 percent pre-CPOE and 0.40 percent with CPOE (p<0.0001) at the community hospital. The university hospital was 2.76 percent pre-CPOE and 0.46 percent with CPOE (p<0.0001). CPOE improved medication order processing at both community and university hospitals. These findings add to the limited literature on CPOE in community hospitals.
Subject(s)
Efficiency, Organizational , Hospitals, Community/organization & administration , Hospitals, University/organization & administration , Medical Order Entry Systems , Medication Systems, Hospital/organization & administration , Humans , Ohio , Organizational Case Studies , Pharmacists , Task Performance and Analysis , Time FactorsABSTRACT
Computerized Provider Order Entry (CPOE) has few community hospital implementations with even less known about the effects on providers and nurses. With a pre-post study design, we surveyed providers and nurses at a community and a university hospital about their satisfaction with the ordering process. Overall, the trend for all users was less satisfaction with CPOE. Community providers were very satisfied with the paper ordering process and less satisfied with CPOE (p<0.0001).
