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

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

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

6 Scopus citations

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 (US)
Title of host publication54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010
Pages840-844
Number of pages5
DOIs
StatePublished - Dec 1 2010
Event54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 - San Francisco, CA, United States
Duration: Sep 27 2010Oct 1 2010

Publication series

NameProceedings of the Human Factors and Ergonomics Society
Volume2
ISSN (Print)1071-1813

Other

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

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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  • Cite this

    Russ, A. L., Saleem, J. J., McManus, M. S., Frankel, R. M., & Zillich, A. J. (2010). The workflow of computerized medication ordering in primary care is not prescriptive. In 54th Human Factors and Ergonomics Society Annual Meeting 2010, HFES 2010 (pp. 840-844). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2). https://doi.org/10.1518/107118110X12829369606288