The workflow of computerized medication ordering in primary care is not prescriptive

Alissa L. Russ, Jason J. Saleem, M. Sue McManus, Richard Frankel, Alan J. Zillich

Research output: Chapter in Book/Report/Conference proceedingConference contribution

6 Citations (Scopus)

Abstract

While the potential benefits of computerized provider order entry (CPOE) are well recognized, little is known about how prescribers have integrated electronic medication ordering into other aspects of patient care. As part of a larger investigation of computerized medication alerts, we observed and opportunistically interviewed 20 primary care prescribers at a major Veterans Affairs Medical Center (VAMC). Participants were recruited from each of the VAMC's 5 primary care clinics and included physicians, nurse practitioners, and clinical pharmacists. Prescribers were observed as they ordered mediations via the CPOE system during routine patient care. In total, observations included 91 routine patient encounters across 66.5 hrs of observation. This paper provides illustrative case examples of how prescribers have integrated CPOE into medication decision-making processes and other patient care tasks. Results demonstrate that CPOE workflow varies widely among prescribers. In addition, results indicate that there are trade-offs associated with using CPOE with the patient in the exam room versus outside of the exam room. Findings may have implications for provider-patient relationships, workflow efficiency, and medication safety, and may ultimately enhance the effectiveness of CPOE in primary care.

Original languageEnglish
Title of host publicationProceedings of the Human Factors and Ergonomics Society
Pages840-844
Number of pages5
Volume2
DOIs
StatePublished - 2010
Event54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 - San Francisco, CA, United States
Duration: Sep 27 2010Oct 1 2010

Other

Other54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010
CountryUnited States
CitySan Francisco, CA
Period9/27/1010/1/10

Fingerprint

workflow
medication
Decision making
patient care
pharmacist
decision-making process
mediation
nurse
physician
electronics
efficiency

ASJC Scopus subject areas

  • Human Factors and Ergonomics

Cite this

Russ, A. L., Saleem, J. J., McManus, M. S., Frankel, R., & Zillich, A. J. (2010). The workflow of computerized medication ordering in primary care is not prescriptive. In Proceedings of the Human Factors and Ergonomics Society (Vol. 2, pp. 840-844) https://doi.org/10.1518/107118110X12829369606288

The workflow of computerized medication ordering in primary care is not prescriptive. / Russ, Alissa L.; Saleem, Jason J.; McManus, M. Sue; Frankel, Richard; Zillich, Alan J.

Proceedings of the Human Factors and Ergonomics Society. Vol. 2 2010. p. 840-844.

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Russ, AL, Saleem, JJ, McManus, MS, Frankel, R & Zillich, AJ 2010, The workflow of computerized medication ordering in primary care is not prescriptive. in Proceedings of the Human Factors and Ergonomics Society. vol. 2, pp. 840-844, 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010, San Francisco, CA, United States, 9/27/10. https://doi.org/10.1518/107118110X12829369606288
Russ AL, Saleem JJ, McManus MS, Frankel R, Zillich AJ. The workflow of computerized medication ordering in primary care is not prescriptive. In Proceedings of the Human Factors and Ergonomics Society. Vol. 2. 2010. p. 840-844 https://doi.org/10.1518/107118110X12829369606288
Russ, Alissa L. ; Saleem, Jason J. ; McManus, M. Sue ; Frankel, Richard ; Zillich, Alan J. / The workflow of computerized medication ordering in primary care is not prescriptive. Proceedings of the Human Factors and Ergonomics Society. Vol. 2 2010. pp. 840-844
@inproceedings{ff4110f96df942d499d8c945fcf73f10,
title = "The workflow of computerized medication ordering in primary care is not prescriptive",
abstract = "While the potential benefits of computerized provider order entry (CPOE) are well recognized, little is known about how prescribers have integrated electronic medication ordering into other aspects of patient care. As part of a larger investigation of computerized medication alerts, we observed and opportunistically interviewed 20 primary care prescribers at a major Veterans Affairs Medical Center (VAMC). Participants were recruited from each of the VAMC's 5 primary care clinics and included physicians, nurse practitioners, and clinical pharmacists. Prescribers were observed as they ordered mediations via the CPOE system during routine patient care. In total, observations included 91 routine patient encounters across 66.5 hrs of observation. This paper provides illustrative case examples of how prescribers have integrated CPOE into medication decision-making processes and other patient care tasks. Results demonstrate that CPOE workflow varies widely among prescribers. In addition, results indicate that there are trade-offs associated with using CPOE with the patient in the exam room versus outside of the exam room. Findings may have implications for provider-patient relationships, workflow efficiency, and medication safety, and may ultimately enhance the effectiveness of CPOE in primary care.",
author = "Russ, {Alissa L.} and Saleem, {Jason J.} and McManus, {M. Sue} and Richard Frankel and Zillich, {Alan J.}",
year = "2010",
doi = "10.1518/107118110X12829369606288",
language = "English",
isbn = "9781617820885",
volume = "2",
pages = "840--844",
booktitle = "Proceedings of the Human Factors and Ergonomics Society",

}

TY - GEN

T1 - The workflow of computerized medication ordering in primary care is not prescriptive

AU - Russ, Alissa L.

AU - Saleem, Jason J.

AU - McManus, M. Sue

AU - Frankel, Richard

AU - Zillich, Alan J.

PY - 2010

Y1 - 2010

N2 - While the potential benefits of computerized provider order entry (CPOE) are well recognized, little is known about how prescribers have integrated electronic medication ordering into other aspects of patient care. As part of a larger investigation of computerized medication alerts, we observed and opportunistically interviewed 20 primary care prescribers at a major Veterans Affairs Medical Center (VAMC). Participants were recruited from each of the VAMC's 5 primary care clinics and included physicians, nurse practitioners, and clinical pharmacists. Prescribers were observed as they ordered mediations via the CPOE system during routine patient care. In total, observations included 91 routine patient encounters across 66.5 hrs of observation. This paper provides illustrative case examples of how prescribers have integrated CPOE into medication decision-making processes and other patient care tasks. Results demonstrate that CPOE workflow varies widely among prescribers. In addition, results indicate that there are trade-offs associated with using CPOE with the patient in the exam room versus outside of the exam room. Findings may have implications for provider-patient relationships, workflow efficiency, and medication safety, and may ultimately enhance the effectiveness of CPOE in primary care.

AB - While the potential benefits of computerized provider order entry (CPOE) are well recognized, little is known about how prescribers have integrated electronic medication ordering into other aspects of patient care. As part of a larger investigation of computerized medication alerts, we observed and opportunistically interviewed 20 primary care prescribers at a major Veterans Affairs Medical Center (VAMC). Participants were recruited from each of the VAMC's 5 primary care clinics and included physicians, nurse practitioners, and clinical pharmacists. Prescribers were observed as they ordered mediations via the CPOE system during routine patient care. In total, observations included 91 routine patient encounters across 66.5 hrs of observation. This paper provides illustrative case examples of how prescribers have integrated CPOE into medication decision-making processes and other patient care tasks. Results demonstrate that CPOE workflow varies widely among prescribers. In addition, results indicate that there are trade-offs associated with using CPOE with the patient in the exam room versus outside of the exam room. Findings may have implications for provider-patient relationships, workflow efficiency, and medication safety, and may ultimately enhance the effectiveness of CPOE in primary care.

UR - http://www.scopus.com/inward/record.url?scp=79952943448&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952943448&partnerID=8YFLogxK

U2 - 10.1518/107118110X12829369606288

DO - 10.1518/107118110X12829369606288

M3 - Conference contribution

SN - 9781617820885

VL - 2

SP - 840

EP - 844

BT - Proceedings of the Human Factors and Ergonomics Society

ER -