Full Implementation of Computerized Physician Order Entry and Medication-Related Quality Outcomes: A Study of 3364 Hospitals

被引：55

作者：

Yu, Feliciano B. ^{[1
]}

Menachemi, Nir ^{[2
]}

Berner, Eta S. ^{[3
]}

Allison, Jeroan J. ^{[4
]}

Weissman, Norman W. ^{[3
]}

Houston, Thomas K. ^{[4
]}

机构：

[1] Univ Alabama Birmingham, Dept Pediat, Div Emergency Med, Sch Med, Birmingham, AL 35233 USA

[2] Univ Alabama Birmingham, Sch Publ Hlth, Birmingham, AL 35233 USA

[3] Univ Alabama Birmingham, Sch Hlth Related Profess, Dept Hlth Serv Adm, Birmingham, AL 35233 USA

[4] Univ Alabama Birmingham, Sch Med, Div Gen Internal Med, Birmingham, AL 35233 USA

来源：

AMERICAN JOURNAL OF MEDICAL QUALITY | 2009年 / 24卷 / 04期

关键词：

computerized physician order entry system; quality indicators; evaluation research; performance measurement; decision support systems; patient safety; ACUTE MYOCARDIAL-INFARCTION; CLINICAL DECISION-SUPPORT; ADVERSE DRUG EVENTS; OF-CARE; EMERGENCY-DEPARTMENT; INFORMATION-TECHNOLOGY; US HOSPITALS; IMPACT; BENEFITS; SAFETY;

D O I：

10.1177/1062860609333626

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

This study compares quality of care measures for hospitals with fully implemented computerized physician order entry (CPOE) systems with hospitals that have not fully implemented such a system. Using a cross-sectional design, this study linked hospital quality data from the Centers for Medicare Management Systems Society Analytics database, which contains hospital CPOE adoption information. Performance on quality measures was assessed using univariate and multivariate methods. In all, 8% of hospitals have fully implemented CPOE systems; CPOE hospitals were more frequently larger, not-for-profit, and teaching hospitals. After controlling for confounders, CPOE hospitals outperformed comparison hospitals on 5 of 11 measures related to ordering medications and on 1 of 9 nonmedication-related quality measures. Using a large sample of hospitals, our study found significant positive associations between specific objective quality indicators and CPOE implementation. (Am J Med Qual 2009;24:278-286)

引用

页码：278 / 286

页数：9

共 46 条

[21] Transforming emergency care through an innovative tracking technology: An emergency department's extreme makeover
Gorsha, N
Stogoski, J
[J]. JOURNAL OF EMERGENCY NURSING, 2006, 32 (03) : 254 - 257
[22] Hawkins H H, 1999, J Healthc Inf Manag, V13, P63
[23] Can electronic medical record systems transform health care? Potential health benefits, savings, and costs
Hillestad, R
Bigelow, J
Bower, A
Girosi, F
Meili, R
Scoville, R
Taylor, R
[J]. HEALTH AFFAIRS, 2005, 24 (05) : 1103 - 1117
[24] Quality of care in investor-owned vs not-for-profit HMOs
Himmelstein, DU
Woolhandler, S
Hellander, I
Wolfe, SM
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (02): : 159 - 163
[25] Care in US hospitals - The Hospital Quality Alliance Program.
Jha, AK
Li, ZH
Orav, EJ
Epstein, AM
[J]. NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (03) : 265 - 274
[26] Effects of computerized physician order entry and clinical decision support systems on medication safety - A systematic review
Kaushal, R
Shojania, KG
Bates, DW
[J]. ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (12) : 1409 - 1416
[27] Computerized physician order entry and decision support: Improving the quality of care
Khorasani, R
[J]. RADIOGRAPHICS, 2001, 21 (04) : 1015 - 1018
[28] The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients
King, WJ
Paice, N
Rangrej, J
Forestell, GJ
Swartz, R
[J]. PEDIATRICS, 2003, 112 (03) : 506 - 509
[29] Kohn LT, 2000, ERR IS HUMAN BUILDIN, DOI [DOI 10.17226/9728, 10.17226/9728]
[30] Kuperman G J, 2001, Jt Comm J Qual Improv, V27, P509

← 1 2 3 4 5 →