Computerized Provider Order Entry: Implementation, Benefits, Challenges and Recommendations

This paper evaluates the implementation, benefits, challenges and recommendations of Computerized Provider Order Entry (CPOE) in healthcare facilities. It discusses the advantages of CPOE, such as reducing manual work and improving patient safety, and the cost savings associated with the system. The paper also provides a personal experience with CPOE and concludes that any healthcare facility seeking to improve the quality of services and reduce the cost of ordering must implement a CPOE system.

Running Head: COMPUTERIZED PROVIDER ORDER ENTRY 1
Computerized provider order entry (CO5, CO8)
Name of the student
University of Affiliation

COMPUTERIZED PROVIDER ORDER ENTRY 2
Introduction
A CPOE is computer software which provides a computer platform for healthcare
personnel to smoothly and efficiently key-in the daily medical records and report on a computer
for safe storage and easier access. This platform is presented to the users on a network and
provides a user-friendly user interface which is easily operated by all trained users. For that
matter, the recent researches have shown that most hospitals – both small and large setups, have
shown great interest in these form of application. This has as a result to the gradual extinction of
the old order methods as most healthcare facilities are going for this method of order keeping
(Coustasse, Shaffer, Conley, Coliflower, Deslich, & Sikula , 2015). This paper will focus on the
evaluation of the CPOE, its implementation, benefits, challenges and finally, recommendations
on what improvement can be made on the same (Han et al., 2016).
Implementation of CPOE
Drug mistakes are the most widely recognized reason for wounds in clinics that can be
preventable. The selection and actualizing of Automated doctor arrange passage (CPOE)
frameworks can decrease actual medicine blunders rates by 55 percent. The utilization of CPOE
frameworks enables social insurance suppliers to enter organizes electronically, and additionally,
deal with those consequences of the requests. By enhancing the nature of consideration and
patient security, the quantity of therapeutic services frameworks actualizing CPOE should
increment. Notwithstanding, usage is more than data innovation changes in medicinal services
conveyance, for example, lessening the potential for human blunder, diminishing time to mind
conveyance, enhance arrange precision, reduce time for arrange affirmation and turnaround,

COMPUTERIZED PROVIDER ORDER ENTRY 3
improve clinical choice help at the purpose of consideration, make significant data all the more
promptly accessible and enhance correspondence among doctors, attendants, drug specialists,
different clinicians, and in addition patients (Kruse, & Goetz, 2015).
Benefits, Costs, and Issues regarding implementation of CPOE
There are many benefits associated with the implementation and adoption of the CPOE
systems in hospitals and other healthcare setups. Among this benefits are the fact that, with the
proper use of the CPOE for the management of clients' medical records, the issue of
displacement of such records. This is mainly because each client's records are located in an
individual file location; hence editing and formatting it is easy (Han et al, 2016). Another
advantage associated with the implementation of CPOE is the reduction in manual work that in
many cases lead to errors related to miscommunication in the process of data entry. Besides, in
cases where the CPOE includes a module that helps in making clinical decisions, the quality of
services give to the patients are of high quality. This is mainly because, the system
comprehensively documents cases for each patient who has been attended to in the specific
health facility and checks analyses the cases in determining what therapy is best for each
example (Lewing, Hatfield, & Sansgiry, 2017).
The ordering process is a process that initially required a lot of workforces. For that
matter, this process cost organization quite a vast amount of money in ensuring its
successfulness. With the introduction of CPOE systems, the process is now straightforward and
less tedious and thus requires little workforce (Prgomet, Li, Niazkhani, Georgiou, & Westbrook,
2016).. For that matter, it has significantly reduced the initial cost of ordering. Besides, the
introduction of such systems has worked to the best interests of the healthcare facility's
personnel. This is because it has eased the process of information sharing among the various

COMPUTERIZED PROVIDER ORDER ENTRY 4
departments for a given facility. That is, in case one doctor needs to send a message to other
departments within the facility, all he/she need to do is type in their pc, specify the destination
location and click a send button (Lin, Chan, Mohindra, Milne, Thoma, & Bond, 2017).
Personal experience with CPOE systems
I once worked in a private hospital called shalom hospital as a practitioner nurse, in the
critical care department. This hospital had implemented a CPOE system that helped them deal
with the various daily operations. Whenever a patient was referred to me, I did it have to ask him
or her for their personal details or what their issue was. All I needed to do, was to login to the
CPOE application on my PC and key-in the patient’s unique ID number and all their details and
the issues appeared on my screen. It was very interesting. For that matter, I decided to learn
explicitly how the system worked.
I realized that when a patient first arrives to the hospital, he/she goes to the customer
cares’ desk. If it’s the first time to visit the facility, he is asked to provide his passport to the
customer care personnel. The customer care personnel register the patient using the personal
details presented on the passport and on clicking the “enter” key on the computer keyboard, the
system automatically generates a hospital card for that particular patient. This card has a unique
number emended on it. This number is the one that the system uses to identify the patient. The
card is printed and given to the patient after he/she pays to acquire it. The patient is ready to
proceed to the next step.
I then proceeded to the next stage. There, the person in charge logged in to the system
and keyed in the patient’s ID number, to access the patient’s file. Once the file appeared,
patient’s weight, temperature, blood pressure, Heart rate, and respiration rate was taken, recorded

COMPUTERIZED PROVIDER ORDER ENTRY 5
on the file and saved in the computer system. The patient was again ready to proceed to the next
level.
The patient waited for some time and his name was called out from the consultation room
and he walked in. I also followed to see what really happens there. The in charge personnel again
logged in to the system and entered the ID number for that particular number and his file
appeared indicating that he was he had cleared with the initial stages. The patient then explained
all the symptoms he had to the nurse as she recorded it on the e-file. She referred the patient to
the lab for some test.
The technician accessed the patient’s e-file using the same process and on viewing the
records from the consultation room, she took some blood and stool samples for testing from the
patient. She then requested the patient to wait outside for the result. He waited for about 20-30
minutes and the result were out. The patient was send to the payment section where the person in
charge checked what remedy was recommended and the total price was set in the system for the
same. The patient paid for the medication and all other services offered and was referred to the
pharmacy section to receive the prescriptions and medication. After receiving the medication, the
patient was free to go home and requested by the pharmacist to come back after a week for the
checkup. It was such an interactive and interesting journey. It was fast and efficient and the
patient went home happy and satisfied.
Conclusion
Any healthcare facility seeking to improve the quality of the services they provide to their
patients and also reduce the cost of ordering must implement a CPOE system. This system comes

COMPUTERIZED PROVIDER ORDER ENTRY 6
with a wide range of benefits and works in the best interests of both patients and the healthcare
personnel.
References
Beam, K. S., Cardoso, M., Sweeney, M., Binney, G., & Weingart, S. N. (2017). Examining
perceptions of computerized physician order entry in a neonatal intensive care
unit. Applied clinical informatics, 8(02), 337-347.
Charles, K., Cannon, M., Hall, R., & Coustasse, A. (2014). Can utilizing a computerized
provider order entry (CPOE) system prevent hospital medical errors and adverse drug
events? Perspectives in Health Information Management, 11(Fall).
Coustasse, A., Shaffer, J., Conley, D., Coliflower, J., Deslich, S., & Sikula Sr, A. (2015).
Computer Physician Order Entry (CPOE): Benefits and concerns-a status report.

COMPUTERIZED PROVIDER ORDER ENTRY 7
In Healthcare Administration: Concepts, Methodologies, Tools, and Applications (pp.
726-742). IGI Global.
Han, J. E., Rabinovich, M., Abraham, P., Satyanarayana, P., Liao, T. V., Udoji, T. N., ... &
Martin, G. S. (2016). Effect of electronic health record implementation in critical care on
survival and medication errors. The American journal of the medical sciences, 351(6),
576-581.
Lewing, B. D., Hatfield, M. D., & Sansgiry, S. S. (2017). Impact of Computerized Provider
Order Entry Systems on hospital staff pharmacist workflow productivity: A three-site
comparative analysis based on the level of CPOE implementation. Journal of Hospital
Administration, 7(1), 1.
Lin, K., Chan, K., Mohindra, R., Milne, K., Thoma, B., & Bond, C. (2017). SGEM Hot Off the
Press: Computer provider order entry (CPOE) and emergency department
flow. Canadian Journal of Emergency Medicine, 19(2), 147-153.
Kruse, C. S., & Goetz, K. (2015). Summary and frequency of barriers to adoption of CPOE in
the US. Journal of medical systems, 39(2), 15.
Prgomet, M., Li, L., Niazkhani, Z., Georgiou, A., & Westbrook, J. I. (2016). Impact of
commercial computerized provider order entry (CPOE) and clinical decision support
systems (CDSSs) on medication errors, length of stay, and mortality in intensive care
units: a systematic review and meta-analysis. Journal of the American Medical
Informatics Association, 24(2), 413-422.

COMPUTERIZED PROVIDER ORDER ENTRY 8
Rai, A., Keil, M., & Mindel, V. (2015). How Does Computerized Provider Order Entry
Implementation Impact Clinical Care Quality, Cycle Time, and Physician Job Demand
Over Time?