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Until a study was released last month in the JAMA showing that the entry of patient prescriptions by doctors into a computerized system may actually increase certain types of medication errors, this health technology system seemed like a clear-cut benefit for health care providers and their patients.
But now, given the negative conclusions of the Journal of American Medicine study, hospitals may be questioning their implementation of CPOE (computer physician order entry) systems.
According to health IT consultancy Capgemini, last year more than one-fifth of hospitals already had CPOE systems in place. And about half of hospital IT executives surveyed in a recent HIMSS (Healthcare Information and Management Systems Society) study cited CPOE systems as among the most important applications for them to implement within the next two years.
In order to encourage the appropriate usage and continued adoption of CPOE systems, Capgemini recently responded to the JAMA study with a series of recommendations for making CPOE systems less likely to be a potential source of patient harm and more likely to fulfill a useful purpose.
According to this analysis, CPOE problems observed in the JAMA study fall into two categories: “information errors that occurred due to data fragmentation and failure to integrate the hospitals information systems and errors that occurred because the CPOE system did not correspond to the work flow or the physicians behavior.”
Capgemini argues for seeing “the findings of this study as an indicator for caution and care during systems implementation, rather than an indictment of clinical information technology.”
