The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review | Zendy

Zahra Niazkhani | Zendy; Habibollah Pirnejad | Zendy; Maarten J. ten Berg | Zendy; José Aarts | Zendy

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The Impact of Computerized Provider Order Entry Systems on Inpatient Clinical Workflow: A Literature Review

Author(s) -

Zahra Niazkhani,

Habibollah Pirnejad,

Maarten J. ten Berg,

José Aarts

Publication year - 2009

Publication title -

journal of the american medical informatics association

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.614

H-Index - 150

eISSN - 1527-974X

pISSN - 1067-5027

DOI - 10.1197/jamia.m2419

Subject(s) - workflow , order entry , computer science , clinical decision support system , computerized physician order entry , data science , medicine , decision support system , data mining , health care , medical emergency , database , economics , economic growth

Previous studies have shown the importance of workflow issues in the implementation of CPOE systems and patient safety practices. To understand the impact of CPOE on clinical workflow, we developed a conceptual framework and conducted a literature search for CPOE evaluations between 1990 and June 2007. Fifty-one publications were identified that disclosed mixed effects of CPOE systems. Among the frequently reported workflow advantages were the legible orders, remote accessibility of the systems, and the shorter order turnaround times. Among the frequently reported disadvantages were the time-consuming and problematic user-system interactions, and the enforcement of a predefined relationship between clinical tasks and between providers. Regarding the diversity of findings in the literature, we conclude that more multi-method research is needed to explore CPOE's multidimensional and collective impact on especially collaborative workflow.

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