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 نوشته شده در تاريخ : 1394/02/21   ( آخرين ويرايش : 1394/02/21 )

Title: The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review

Author: Niazkhani, Z. , Pirnejad, H., Berg, M., Aarts, J


Previous studies have shown the importance of workflow issues in the implementation of CPOE systems and patient safety practices. To understand the impact of CPOE on clinical workflow, we developed a conceptual framework and conducted a literature search for CPOE evaluations between 1990 and June 2007. Fifty-one publications were identified that disclosed mixed effects of CPOE systems. Among the frequently reported workflow advantages were the legible orders, remote accessibility of the systems, and the shorter order turnaround times. Among the frequently reported disadvantages were the time-consuming and problematic user-system interactions, and the enforcement of a predefined relationship between clinical tasks and between providers. Regarding the diversity of findings in the literature, we conclude that more multi-method research is needed to explore CPOEs multidimensional and collective impact on especially collaborative workflow. © 2009 J Am Med Inform Assoc.
Indexed keywords

EMTREE medical terms: article; clinical practice; computer system; health care personnel; hospital information system; hospital patient

MeSH: Efficiency, Organizational; Evaluation Studies as Topic; Hospital Administration; Humans; Inpatients; Interprofessional Relations; Medical Order Entry Systems; User-Computer Interface Medline is the source for the MeSH terms of this document.


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