Full implementation of computerized physician order entry and medication-related quality outcomes: A study of 3364 hospitals

Feliciano B. Yu, Nir Menachemi, Eta S. Berner, Jeroan J. Allison, Norman W. Weissman, Thomas K. Houston

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

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 and Medicaid Services to the Health Information 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.

Original languageEnglish (US)
Pages (from-to)278-286
Number of pages9
JournalAmerican Journal of Medical Quality
Volume24
Issue number4
DOIs
StatePublished - Jul 1 2009
Externally publishedYes

Keywords

  • Computerized physician order entry system
  • Decision support systems
  • Evaluation research
  • Patient safety
  • Performance measurement
  • Quality indicators

ASJC Scopus subject areas

  • Health Policy

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