Medical order entry system: Difference between revisions
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'''Medical order entry systems''', also called '''computerized provider order entry systems''' ('''CPOE''') are a component of an [[electronic health record]] and are defined as "information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care."<ref>{{MeSH|Medical order entry systems}}</ref> | '''Medical order entry systems''', also called '''computerized provider order entry systems''' ('''CPOE''') are a component of an [[electronic health record]] and are defined as "information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care."<ref>{{MeSH|Medical order entry systems}}</ref> | ||
In the [[United States]], the CPOE of the [[United States Veterans Health Administration|Veterans Health Administration]], called VISTA/CPRS supports 'order dialogs', 'quick orders', and 'order sets'.<ref name="pmid12668686">{{cite journal |author=Payne TH, Hoey PJ, Nichol P, Lovis C |title=Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system |journal=J Am Med Inform Assoc |volume=10 |issue=4 |pages=322–9 |year=2003 |pmid=12668686 |pmc=181982 |doi=10.1197/jamia.M1090 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=12668686 |issn=}}</ref> | In the [[United States of America]], the CPOE of the [[United States Veterans Health Administration|Veterans Health Administration]], called VISTA/CPRS supports 'order dialogs', 'quick orders', and 'order sets'.<ref name="pmid12668686">{{cite journal |author=Payne TH, Hoey PJ, Nichol P, Lovis C |title=Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system |journal=J Am Med Inform Assoc |volume=10 |issue=4 |pages=322–9 |year=2003 |pmid=12668686 |pmc=181982 |doi=10.1197/jamia.M1090 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=12668686 |issn=}}</ref> | ||
CPOE can be used as a type [[clinical decision support system]] whose benefits can be shown in a [[randomized controlled trial]]<ref name="pmid15758007">{{cite journal |author=Kucher N, Koo S, Quiroz R, ''et al'' |title=Electronic alerts to prevent venous thromboembolism among hospitalized patients |journal=N. Engl. J. Med. |volume=352 |issue=10 |pages=969–77 |year=2005 |month=March |pmid=15758007 |doi=10.1056/NEJMoa041533 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=15758007&promo=ONFLNS19 |issn=}}</ref> and other studies<ref name="pmid19390110">{{cite journal |author=Schedlbauer A, Prasad V, Mulvaney C, ''et al.'' |title=What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? |journal=J Am Med Inform Assoc |volume=16 |issue=4 |pages=531–8 |year=2009 |pmid=19390110 |doi=10.1197/jamia.M2910 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=19390110 |issn=}}</ref><ref name="pmid16357360">{{cite journal |author=Ozdas A, Speroff T, Waitman LR, Ozbolt J, Butler J, Miller RA |title=Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction |journal=J Am Med Inform Assoc |volume=13 |issue=2 |pages=188–96 |year=2006 |pmid=16357360 |pmc=1447538 |doi=10.1197/jamia.M1656 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=16357360 |issn=}}</ref>. | CPOE can be used as a type [[clinical decision support system]] whose benefits can be shown in a [[randomized controlled trial]]<ref name="pmid15758007">{{cite journal |author=Kucher N, Koo S, Quiroz R, ''et al'' |title=Electronic alerts to prevent venous thromboembolism among hospitalized patients |journal=N. Engl. J. Med. |volume=352 |issue=10 |pages=969–77 |year=2005 |month=March |pmid=15758007 |doi=10.1056/NEJMoa041533 |url=http://content.nejm.org/cgi/pmidlookup?view=short&pmid=15758007&promo=ONFLNS19 |issn=}}</ref> and other studies<ref name="pmid19390110">{{cite journal |author=Schedlbauer A, Prasad V, Mulvaney C, ''et al.'' |title=What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? |journal=J Am Med Inform Assoc |volume=16 |issue=4 |pages=531–8 |year=2009 |pmid=19390110 |doi=10.1197/jamia.M2910 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=19390110 |issn=}}</ref><ref name="pmid16357360">{{cite journal |author=Ozdas A, Speroff T, Waitman LR, Ozbolt J, Butler J, Miller RA |title=Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction |journal=J Am Med Inform Assoc |volume=13 |issue=2 |pages=188–96 |year=2006 |pmid=16357360 |pmc=1447538 |doi=10.1197/jamia.M1656 |url=http://www.jamia.org/cgi/pmidlookup?view=long&pmid=16357360 |issn=}}</ref>. | ||
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Since [[nursing|nurses]] will be a major consumer of CPOE output, any successful system will be consistent with [[nursing workflow]]. | Since [[nursing|nurses]] will be a major consumer of CPOE output, any successful system will be consistent with [[nursing workflow]]. | ||
Order sets can reduce variability in clinic decision making<ref name="pmid21422099">{{cite journal| author=Munasinghe RL, Arsene C, Abraham TK, Zidan M, Siddique M| title=Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set. | journal=J Am Med Inform Assoc | year= 2011 | volume= 18 | issue= 3 | pages= 322-6 | pmid=21422099 | doi=10.1136/amiajnl-2010-000066 | pmc=PMC3078659 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21422099 }} </ref>, but the use of order sets depends on physician and other factors<ref name="pmid16169772">{{cite journal| author=McAlearney AS, Chisolm D, Veneris S, Rich D, Kelleher K| title=Utilization of evidence-based computerized order sets in pediatrics. | journal=Int J Med Inform | year= 2006 | volume= 75 | issue= 7 | pages= 501-12 | pmid=16169772 | doi=10.1016/j.ijmedinf.2005.07.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16169772 }} </ref>. | |||
Specific benefits of order sets include:<ref name="pmid22891236">{{cite journal| author=Avansino J, Leu MG| title=Effects of CPOE on provider cognitive workload: a randomized crossover trial. | journal=Pediatrics | year= 2012 | volume= 130 | issue= 3 | pages= e547-52 | pmid=22891236 | doi=10.1542/peds.2011-3408 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22891236 }} </ref> | |||
* Reducing cognitive load of the clinician | |||
==References== | ==References== | ||
<references/> | <references/>[[Category:Suggestion Bot Tag]] | ||
Latest revision as of 12:01, 17 September 2024
Medical order entry systems, also called computerized provider order entry systems (CPOE) are a component of an electronic health record and are defined as "information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care."[1]
In the United States of America, the CPOE of the Veterans Health Administration, called VISTA/CPRS supports 'order dialogs', 'quick orders', and 'order sets'.[2]
CPOE can be used as a type clinical decision support system whose benefits can be shown in a randomized controlled trial[3] and other studies[4][5].
CPOE is one of the four recommendations by the Leapfrog Group.[6]
Since nurses will be a major consumer of CPOE output, any successful system will be consistent with nursing workflow.
Order sets can reduce variability in clinic decision making[7], but the use of order sets depends on physician and other factors[8].
Specific benefits of order sets include:[9]
- Reducing cognitive load of the clinician
References
- ↑ Anonymous (2024), Medical order entry systems (English). Medical Subject Headings. U.S. National Library of Medicine.
- ↑ Payne TH, Hoey PJ, Nichol P, Lovis C (2003). "Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system". J Am Med Inform Assoc 10 (4): 322–9. DOI:10.1197/jamia.M1090. PMID 12668686. PMC 181982. Research Blogging.
- ↑ Kucher N, Koo S, Quiroz R, et al (March 2005). "Electronic alerts to prevent venous thromboembolism among hospitalized patients". N. Engl. J. Med. 352 (10): 969–77. DOI:10.1056/NEJMoa041533. PMID 15758007. Research Blogging.
- ↑ Schedlbauer A, Prasad V, Mulvaney C, et al. (2009). "What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?". J Am Med Inform Assoc 16 (4): 531–8. DOI:10.1197/jamia.M2910. PMID 19390110. Research Blogging.
- ↑ Ozdas A, Speroff T, Waitman LR, Ozbolt J, Butler J, Miller RA (2006). "Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction". J Am Med Inform Assoc 13 (2): 188–96. DOI:10.1197/jamia.M1656. PMID 16357360. PMC 1447538. Research Blogging.
- ↑ The Leapfrog Group Fact Sheet. Retrieved on 2007-11-01.
- ↑ Munasinghe RL, Arsene C, Abraham TK, Zidan M, Siddique M (2011). "Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set.". J Am Med Inform Assoc 18 (3): 322-6. DOI:10.1136/amiajnl-2010-000066. PMID 21422099. PMC PMC3078659. Research Blogging.
- ↑ McAlearney AS, Chisolm D, Veneris S, Rich D, Kelleher K (2006). "Utilization of evidence-based computerized order sets in pediatrics.". Int J Med Inform 75 (7): 501-12. DOI:10.1016/j.ijmedinf.2005.07.040. PMID 16169772. Research Blogging.
- ↑ Avansino J, Leu MG (2012). "Effects of CPOE on provider cognitive workload: a randomized crossover trial.". Pediatrics 130 (3): e547-52. DOI:10.1542/peds.2011-3408. PMID 22891236. Research Blogging.