Difference between revisions of "Enhancing Physician Adoption of CPOE: The Search for a Perfect Order Set"

Revision as of 04:29, 14 October 2015

First Review

This is a review for Samuel Alfano's Enhancing Physician Adoption of CPOE: The Search for a Perfect Order Set. ^[1]

Abstract

"As hospitals and health care providers throughout the US evaluate the impact of the 2009 American Recovery and Reinvestment Act, provisions in the package that call for the "meaningful use" of electronic medical records are prompting rapid growth in the implementation of computerized physician order entry (CPOE). Despite this incentive, only 21.7% of hospitals had successfully implemented CPOE systems according to a 2011 KLAS report. Catholic Health Initiatives (CHI) is a large national hospital system consisting of 76 hospitals in 19 states. Several years ago they started a project called ONECARE. Their goal was to roll out an electronic medical record and CPOE to all hospitals and providers within five years. During the first few weeks most, if not all physicians, customized the order sets they commonly used. Even though they could share these sets with other members of their group or department, they rarely shared these widely." ^[1]

Methods

The author and colleagues developed a portfolio of national order sets and posted them on the internet using XML and SharePoint. They then opened them to physicians within their system and allowed them to make comments as well as see other contributors' comments.

Results

Discovery of important considerations while negotiating the process to improve acceptability of the order sets developed. Attention to issues helps improve adoption of order sets to provide safe care to patients.

Conclusion

It is important to give physicians' input on order sets and allow them to customize specific order sets in orders to enhance the adoption of CPOE.

Comments

This article gives insight to the steps taken to adopt CPOE in a large national hospital system. While the author explains different measure that are important to consider when implementing CPOE, there is no information on whether the implementation within the system as successful or not.

Second Review

Introduction

As the intensives to adopt CPOE systems in hospitals continue to grow, the rate of CPOE integration into clinics has not been impressive. This article seeks to elaborate on what is preventing a wider spread integration of CPOE systems by physicians. With this transition, more emphasis has been put towards the adaptation of order sets along with CPOE systems. Given order sets' history of improving patient outcomes, reducing costs, and improving efficiency, this article seeks to bring some of the obstacles of adaptation to light.

[1]

Methods

Those involved in the creation of this study introduced multiple physicians as well as other benefactors to certain order sets in order to attain their input and opinion.

Results

Multiple critiques and useful suggestions were made regarding current order sets.

Conclusion

The article reviews multiple suggestions regarding order sets and reestablishes the point that physicians are necessary in the development of order sets as to maximize efficiency.

Comments

This is an excellent article depicting the partnership between EMR developers and physicians in order to establish better electronic healthcare systems.

Related Article Reviews

Main Page/The Use of Electronic Medical Records: Communication Patterns in Outpatient Encounters

Computerized Provider Order Entry Reduces Length of Stay in a Community Hospital

References

1. ↑ ^{1.0 1.1 1.2} Samuel Alfano, D. O. (2013). Enhancing Physician Adoption of CPOE: The Search for a Perfect Order Set. Physician executive, 39(5), 30. http://acpe.physicianleaders.org/docs/default-source/pej/enhancing-physician-adoption-of-cpoe.pdf?sfvrsn=4