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

Academic Article

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.
  • Authors

    Published In

    Keywords

  • Centers for Medicare and Medicaid Services (U.S.), Cross-Sectional Studies, Hospital Administration, Humans, Medical Order Entry Systems, Outcome Assessment (Health Care), Pharmacy Service, Hospital, Quality Assurance, Health Care, Quality Indicators, Health Care, United States
  • Digital Object Identifier (doi)

    Author List

  • Yu FB; Menachemi N; Berner ES; Allison JJ; Weissman NW; Houston TK
  • Start Page

  • 278
  • End Page

  • 286
  • Volume

  • 24
  • Issue

  • 4