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REPLY
Computer Physician Order Entry
Gilad J. Kuperman, MD, PhD, and
Richard F. Gibson, MD, PhD
20 April 2004 | Volume 140 Issue 8 | Pages 669-670
IN RESPONSE:
We agree with Dr. Edwards that most of the research thus far on the impact of CPOE applications has been done at academic centers and that more research is needed to understand the challenges in implementing CPOE in institutions of different sizes and staffing models. More papers continue to be published on this topic (1). Our aim was to point out the opportunities and potential benefits that organizations should keep in mind as they struggle with the very real issues of implementation. We further agree that a situation in which physicians' efficiency is negatively affected over an extended period is not sustainable. Software developers and implementation staff must work to ensure that the technology fits as smoothly as possible into physician workflow.
Dr. Nassberg points out one pitfall in trying to use technology to improve care: computer systems installed but not used. No benefit will be gained in these circumstances. Organizations that implement technology projects must have clear quality and efficiency goals and must work toward them. Computers sitting on desks unused will not advance us to the quality goals we so desperately need to reach (2).
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Author and Article Information
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From Partners HealthCare System, Inc., Wellesley, MA 02481, and Providence Health System, Portland, OR 97223.
1. Metzger J, Fortin J. Computerized Order Entry in Community Hospitals: Lessons from the Field. Oakland, CA: California Health Care Foundation and First Consulting Group; 2003.
2. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Pr; 2000.
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Related articles in Annals:
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Improving Patient Care
Computer Physician Order Entry: Benefits, Costs, and Issues
Gilad J. Kuperman AND Richard F. Gibson
- Annals 2003 139: 31-39.
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