Comprehensive Report: Impact of CPOE in the Healthcare Industry

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This report provides a comprehensive analysis of the impact of Computerized Physician Order Entry (CPOE) systems in the healthcare industry. It explores the benefits, such as improved efficiency, reduced medical errors, streamlined information sharing, and enhanced patient satisfaction. The report also addresses the challenges associated with CPOE implementation, including initial resistance from medical practitioners, potential technical glitches, and the need for staff training. The report highlights the importance of CPOE in modern healthcare for improving management, patient safety, and overall healthcare outcomes. It discusses the impact of CPOE on various aspects of hospital operations, including order entry, inventory management, billing, and patient record-keeping, and considers both the positive and negative implications of this technology on healthcare professionals and patients. The report emphasizes the role of CPOE in creating a safer and more efficient healthcare environment, despite the challenges associated with its adoption and use.
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RUNNING HEAD: Impact of CPOE
Impact of CPOE
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Impact of CPOE 1
Impact of CPOE
CPOE refers to Computerized Physician Order Entry that is a data entry system of recording the
medical practitioner’s instructions in the hospital setup. With the changing environment, every
industry is aiming to make use of innovative technologies present in the environment so as to
upgrade the working process and eliminate the repetition of work as well. It is believed that all
the industries should make use of innovative technologies present in the environment to
eliminate the workload of human resource in the environment and work in a time efficient
manner. In the healthcare industry, use of technology helps the health professionals to complete
the work in given time and focus on introducing new practices with the time saved. Talking
about the computerized physician order entry, it should be noted that this system provide impact
to the parties present in the healthcare industry in several way (Prgomet, et. al., 2016). The below
mentioned report let the reader know details about the impact of CPOE in the practice of medical
practitioner and on the overall industry.
CPOE is a computerized provider for order entry that electronically accounts the instructions of
the medical practitioners in the environment for the treatment of the patients present under their
care. This type of system has now in the current environment and is now used by several
hospitals present in the international business environment. The orders entered with the help of
this system are further transferred to the computer network of the medical staff of different
departments like radiology, pharmacy, laboratory, clinic etc. who will help in completing the
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Impact of CPOE 2
order and product requirement. The process of CPOE reduces the time taken in distributing the
information and completing the order as well (Lyons, et. al., 2017).
This process gets the work done in the hospital in the most efficient and effective manner. This
activity also eliminates the errors of transcription during the duplication of order entry. The
inventory management and billing process also becomes simplified with the use of this process.
This activity eliminate dual entry of same information in the environment due to which the
problem of error reduces in the environment. The work also gets completed on time because the
information is directly shared to the concerned department in the hospital. Resulting in which,
the satisfaction of the patients also increases subsequently (Romanow, Rai, Keil, and Luxenberg
2017). CPOE is a part of a patient management software that is used to increase the efficiency of
hospital activities so as to increase the satisfaction of the patients in the environment. The
process of CPOE initially analyse the details about the patient and store there information in
system so that in case the patient comes back then they do not need to repeat the details of their
medical history to the practitioners. Further, after identifying the patients and their history, this
system assist roles and responsibilities to the members and staff of the hospital who should take
care of the patient. After allocation of human resource, the material and medication is applied
with that patient (AlAzmi, et. al., 2019).
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Impact of CPOE 3
Post implementation of the procedures in the environment, the details are filled in the system ad
operation sequence mentioned by the lead doctor is followed by all the other staff linked with the
patient. The feedback of the patient is recorded in the system after the services are delivered to
them in the environment. Lastly, on the basis of all the activities happened and statements
recorded, the file of the patient is prepared for the future reference. Thus, in this way, the process
of CPOE works in the healthcare setting (Hernandez, et. al., 2015).
Further, it should be noted that this system make use of several terminologies in the hospital
setting that are filler, order, place order group, protocol, order detail segment, order set and
placer. Fillers refer to the application of patient that is requesting a new service in the
environment. Order is the request for service from one application to second application. Place
order group is the list of several orders coming from the end of single patient in the environment.
Further, protocol refers to the standardized system used to initiate the clinical process on the
behalf of the physician linked with the case (Vecellio, and Georgiou 2016). Order detail segment
is the segment that carries information about the order to the concerned department. Order set
refers to the group of orders that are analysed by the licensed physician and are going into further
check-up because of their nature. Lastly, placer is the person initiating the application or request
in the environment (Pontefract, et. al., 2018).
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Impact of CPOE 4
Further, it should be noted that the process of CPOE could take years to install and start
functioning in the hospital setting. This system might look simple and easy to people but it is
difficult to adopt and implement in regular workings of the people of hospital. However, it is said
that this system eliminate the errors and problems of the medical practitioner but the adoption of
this system also welcome several types of issues for medical practitioners in the business
environment (Garfield, et. al., 2019).
During the initial phase of implementation of this system in the healthcare, many medical
practitioners resisted to implement such changes in the environment because of computerized
system that eliminated the work of manpower. However, the resistance was dissolved easily
when the practitioners got to know about the benefit of this system on their patients. Use of this
system increases the safety of patient in the healthcare environment. Thus, it should be noted that
impact of this system has laid positive in the healthcare environment. Before implementation of
this system in the environment, practitioners used hand written and verbal commination to share
details and order to staff for certain treatment and practices for the patient (Ayatollahi, Roozbehi,
and Haghani 2015).
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Impact of CPOE 5
However, with the implementation of this system, the doctors do not need to write the order
themselves as they can post it on the system in relations to the patient and every staff checking
the patient will get to know about the course of treatment prescribed to the patient. Internet based
sharing of information and computer based system eliminate the problem of medical practitioner
to share details about the patient to each and every person themselves as now they can post the
information and then focus on other patients as well. In this way, the patient will get right course
of treatment in the environment as well (Kannampallil, et. al., 2017). Inspection of person who
accountable for wrong decision can be easily known through this process because the doctor or
surgeon who is linked to the patient can take decision for the patient. The name of the doctor is
prescribed on the report of the patient along with the details of staff taking caring of the patient.
So, in any case if the problem occurs then the hospital can easily find out the person behind the
mistake. The process of CPOE has eliminated the errors up to 80% in the overall hospital
setting. It also holds the capacity to eliminate the risk of death by 55% by reporting each and
every detail linked with the case (Lewing, Hatfield, and Sansgiry 2018). The administration
process of the hospital becomes efficient with the implementation of this process in the business
environment.
Talking about the impact of this system, it should be noted that on one hand it assisted the
medical practitioners to record the details of the patient while on the other hand, this system
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Impact of CPOE 6
eliminated the effectiveness of the manpower to work efficiently. People started relying on the
work of machines due to which hand written reporting activity was eliminated. The hospital
started facing technical glitch in the environment. Machines cannot be trusted completely
because they can become waste any day without facing any problem (Gellert, et. al., 2017).
Resulting in which, when the machines started to fail the hospitals started losing important
information and past medical records of several patients due to which they course of action
became delayed. Due to this process, the medical practitioners had to perform complete check-up
of the again so as to continue their course of action. This acted as reduction in the satisfaction of
the patient in the hospital environment. Further, this activity also affected in working activities of
the staff of the hospital (Frisse, et. al., 2016). Till the time people were using hand written
function, the employees used to perform their task efficient but with the implementation of
CPOE process, the staff started relying on the system only due to which they became lazy and
stopped performing effectively in the environment. Thus, it should be noted that the efficiency of
the employees reduced with the implementation of this process in the environment. Further, as
this system was so no person knew how to rectify the issues occurring in the system. Thus,
recording of wrong information created major issue for the hospital because such information
was also circulated in the whole and nobody knew how to edit the information or delete them
from the process (Khammarnia, et. al., 2017).
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Impact of CPOE 7
Thus, no person knew how to rectify the issues due to which the organization faced the problem
in resolving the errors in the environment. Inexperienced people were using the system due to
which it was taking more than expected time in the environment. This process initially increased
the workload and pressure of the practitioners to implement changes in the environment due to
which efficiency of their work reduced. Further, application of this type of process was
inefficient in case of emergency room as in that case, information is recorded after the treatment
of the patient. So the management was unable to make it efficient in case of ER activities. The
hospitals implementing this type of system in the business faced resistance of change problem in
the business environment (Schreiber, and Shaha 2016).
This type of technology is new and highly competitive in the environment so that employees
faced difficulty in adopting it in their regular course as it initially increased the workload. The
staff resisted because they did not wanted to change their activities and they were comfortable
with their activities in the environment. With the implementation of the CPOE system, only the
questions mentioned in the system in the system were recorded and asked from the patient.
Resulting in which, other relevant questions were neither asked nor recorded by staff in the
system CPOE. This activity eliminated the effectiveness of the practices in the healthcare setting.
But it should be noted that change is most substantial activities present in the international
business environment as it helps the organizations to become competitive in the environment.
Especially in case of healthcare industry, it is important for the organization to make use of new
and innovative technology so as to increase benefits received to the people through healthcare
practices in the environment (Afshan 2019).
Talking about the healthcare industry, it should be noted that this industry is crucial for the
people and it is important for the partners to implement right process and strategies in the
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Impact of CPOE 8
environment to increase the satisfaction of patients in the environment. Even if the CPOE
activities are ineffective for the medical practitioners but the long term benefit of this system are
satisfying for the stakeholders of the industry. The impact of CPOE system on the activities of
the organization is that it increases the proper management and follow up activities in the
environment (Shaanika 2018). With the help of this process, the organization gets to create an
accurate system for functioning of the hospital in business environment. The CPOE system is
one of the safest and critical aspects of the safe decision making environment and leading to
implementation of certified health information technology in the environment. Thus, it should be
noted that irrespective of the problems connected with the CPOE system, it should be noted that
hospitals should make use of this type of system because it provide long term benefits to the
organizations and the patients as well. The CPOE eliminates the handwritten paperwork of the
employees in the environment due to which their workload and pressure reduces in the
environment (Bakkar, Khelalfa, and McKay 2018).
Costing of the organization is also saved with the implementation of this process in the business
environment, as they do not need to hire people to perform paper work or attain stationery
expenses in the environment. With the introduction of CPOE process in the environment, the
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Impact of CPOE 9
practitioners get to take decision that is backed up by several aspects in the environment. The
CPOE system in the hospital was found to reduce the costing of the hospital and eliminate
medical errors as well. The errors prevailing in the healthcare society started to increase due to
which it had become the need for the healthcare professionals to implement CPOE in the
environment (Ghani, Ikram, and Basari 2015). This system gave support to several clinical
decisions in the environment. If the organizations start to train the employees and develop their
approach to welcome new aspects in the environment, then the hospitals will not face the
problem of resistance to change. This system allows the practitioners to prescribe the patient
service electronically. Electronically serving the clients increases the satisfaction level of the
patients and the doctors as well. The primary care practices and surgical activities are initiated
effectively after the implementation of CPOE activities in the environment. However, the major
problem with the implementation of this type of activity is that it involves the resistance of the
employees in the environment (Alibakhsh, and Famorzadeh, NUESOFT TECHNOLOGIES Inc,
2017).
It cannot be said that this type of change is a small change because it require high degree of
practices and trainings for the practitioners to change their handwriting system to this system in
the environment. This type of system would be the best type of system for the healthcare
organizations in the environment because it would help the medical practitioners to eliminate the
costing and do not suffer because of non-understandable hand writing as well. This system helps
the organization in analysing the number of beds available with the hospital, history of particular
patient, schedule of the physician etc. (Merhi, Patel, and Nguyen 2017).
All the functions of the company are converted electronically because of implementation of
CPOE process in the environment. This process also eliminates the use abbreviations from the
environment due to which the communication process is enhanced in the business setting.
Further, it should be noted that several factors other than practice size must be considered when
examining CPOE adoption rates. Hospitals that have a higher bed capacity are more likely to
adopt CPOE than smaller hospitals because increased funds are available to spend. Thus, it
should be noted that the action of CPOE has started to provide all the benefits in the environment
and resolved all the problems that the hospitals were facing in the environment Talking about the
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Impact of CPOE 10
impact of this process, it should be noted that this software helps in increasing the satisfaction of
the patients in the environment (Boddy, McCalman, and Buchanan 2018).
It helps in improving their care and helps doctors to easily get details about medical history of
the patient. Thus, in the limelight of above mentioned events, the fact should be noted that the
above mentioned essay highlight details about the CPOE system. It refers to the computerised
physician order entry system that helps the organization in increasing effectiveness of the
business recording and communicating all the relevant details of the patient and the organization.
This system helps the practitioners to improve their functions and increase the scope of actions in
the environment as well (Wright, O'Mahony, and Cilliers 2017). Thus, it should be noted that all
organization should make use of this type of system so as to increase the effectiveness of their
healthcare setup.
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Impact of CPOE 11
References
Afshan, G., 2019. Computerised data-based programs and pain management clinic
system. Anaesthesia, Pain & Intensive Care, pp.1-3.
AlAzmi, A.A., AlHamdan, H., Ahmed, O., Tomlin, S. and Rashed, A.N., 2019. Impact of the e
prescribing system on the incidence and nature of drugrelated problems in children in a Saudi
hospital. International Journal of Pharmacy Practice.
Alibakhsh, M. and Famorzadeh, S., NUESOFT TECHNOLOGIES Inc, 2017. System and
method for identifying and condensing similar and/or analogous information requests and/or
responses. U.S. Patent Application 15/369,589.
Ayatollahi, H., Roozbehi, M. and Haghani, H., 2015. Physicians’ and nurses’ opinions about the
impact of a computerized provider order entry system on their workflow. Perspectives in health
information management, 12(Fall).
Bakkar, M., Khelalfa, H.M. and McKay, E., 2018. Perception of information systems security:
serving healthcare industry in Dubai. International Journal of Internet and Enterprise
Management, 9(1), pp.58-89.
Boddy, D., McCalman, J. and Buchanan, D.A., 2018. The new management challenge:
information systems for improved performance. UK: Routledge.
Frisse, S., Röhrig, G., Franklin, J., Polidori, M.C. and Schulz, R.J., 2016. Prescription errors in
geriatric patients can be avoided by means of a computerized physician order entry
(CPOE). Zeitschrift für Gerontologie und Geriatrie, 49(3), pp.227-231.
Garfield, S., Jani, Y., Jheeta, S. and Franklin, B.D., 2019. Impact of electronic prescribing on
patient safety in hospitals: implications for the UK. Acute pain, 14, p.44.
Gellert, G.A., Catzoela, L., Patel, L., Bruner, K., Friedman, F., Ramirez, R., Saucedo, L.,
Webster, S.L. and Gillean, J.A., 2017. The Impact of Order Source Misattribution on
Computerized Provider Order Entry (CPOE) Performance Metrics. Perspectives in health
information management, 14(Spring).
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