Computerized physician
order entry and CDS
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Overview
• Computerized physician order entry (CPOE) is also called
computerized practitioner entry.
• It is the process in which healthcare providers send treatment
instructions electronically.
• A computer software of application is used in the process.
• It reduces medication errors.
• It enhances patient safety.
• It improves efficiency within healthcare organizations.
• It streamlines reimbursements by flagging orders needing pre-
approval.
The Features of CPOEs
• CPOE can be used together with clinical decision support systems and
electronic health records to increase care efficiency and patient safety.
• CPOEs have safeguards that allow them to check for potential adverse
drug events.
• They are designed to mimic the paper chart workflow.
• They are often used with e-prescribing systems that alter clinicians
and physicians on the drug allergies of a particular patient and their
current medications.
• EHR products today are equipped with CPOE modules to enable
physicians enter patient data electronically instead of handwriting
notes.
The Features of CPOEs Cont’d
• Ordering
• Patient-centered decision support.
• Patient safety features.
• An intuitive user interface
The Features of CPOEs Cont’d
• Security and regulatory compliance.
• Portability.
• Management.
• Billing.
Stakeholders
• Long-term care facilities.
• Nurses
• Physicians.
• Pharmacists.
• Laboratory technicians.
• Nursing home residents.
How CPOE will improve access to
healthcare in the Kingdom of Saudi Arabia
• Getting rid of lost orders.
• Eliminating ambiguities related to illegible
handwriting.
• Preventing errors in medication.
• Reducing the cost of long-term care.
Evaluation Recommendations
• Improved patient safety.
• Improved efficiency in healthcare organizations.
• More patients being served within a given period
of time.
• Patient-centered care.
• Improved patient outcomes.
References
• Almutairi, M. S., Alseghayyir, R. M., Al-Alshikh, A. A., Arafah, H. M., & Househ, M. S. (2012). Implementation of
computerized physician order entry (CPOE) with clinical decision support (CDS) features in Riyadh hospitals to
improve quality of information. In Quality of Life through Quality of Information (pp. 776-780). IOS Press.
• Bryant, A. D., Fletcher, G. S., & Payne, T. H. (2014). Drug interaction alert override rates in the Meaningful Use
era. Applied clinical informatics, 5(03), 802-813.
• Cresswell, K. M., Bates, D. W., Williams, R., Morrison, Z., Slee, A., Coleman, J., ... & Sheikh, A. (2014). Evaluation
of medium-term consequences of implementing commercial computerized physician order entry and clinical decision
support prescribing systems in two ‘early adopter’hospitals. Journal of the American Medical Informatics
Association, 21(e2), e194-e202.
• Nuckols, T. K., Smith-Spangler, C., Morton, S. C., Asch, S. M., Patel, V. M., Anderson, L. J., ... & Shekelle, P. G.
(2014). The effectiveness of computerized order entry at reducing preventable adverse drug events and medication
errors in hospital settings: a systematic review and meta-analysis. Systematic reviews, 3(1), 1-12.
• Rabiei, R., Moghaddasi, H., Asadi, F., & Heydari, M. (2018). Evaluation of computerized provider order entry
systems: assessing the usability of systems for electronic prescription. Electronic physician, 10(8), 7196.
• Ranji, S. R., Rennke, S., & Wachter, R. M. (2014). Computerised provider order entry combined with clinical decision
support systems to improve medication safety: a narrative review. BMJ Quality & Safety, 23(9), 773-780.
• Wolfstadt, J. I., Gurwitz, J. H., Field, T. S., Lee, M., Kalkar, S., Wu, W., & Rochon, P. A. (2008). The effect of
computerized physician order entry with clinical decision support on the rates of adverse drug events: a systematic
review. Journal of general internal medicine, 23(4), 451-458.
