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Implementation of computerized physician order entry in seven countries.

Authors
  • Aarts, Jos
  • Koppel, Ross
Type
Published Article
Journal
Health affairs (Project Hope)
Publication Date
Jan 01, 2009
Volume
28
Issue
2
Pages
404–414
Identifiers
DOI: 10.1377/hlthaff.28.2.404
PMID: 19275996
Source
Medline
License
Unknown

Abstract

We review the extent and functionality of computerized physician order entry (CPOE) systems in seven Western countries. We compare nations' implementation levels; linkages with other health care information technologies; amount and types of use by clinicians; drivers of implementation; inclusion of decision-support systems and electronic medical records; and goals (for example, patient safety and efficiency). Implementation of CPOE is slower and more problematic than anticipated (adoption rates are 20 percent or less) and often poorly integrated, inducing new errors and generating frustration with user interfaces and repetitive tasks. Nevertheless, the advantages of CPOE remain compelling.

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