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Dissertations / Theses on the topic 'Computerized provider order entry'

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Published: 4 June 2021

Last updated: 25 July 2025

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1

Ahuja, Irene. "Computerized Provider Order Entry (CPOE) using Systems Engineering." Digital Commons at Loyola Marymount University and Loyola Law School, 2013. https://digitalcommons.lmu.edu/etd/342.

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As engineering in the 21st century becomes increasingly politically, socially and technically complex, systems engineering has become an effective tool in managing multidimensional problems involving people and the services they use. This project addresses how systems engineering principles are invoked throughout the development of the Computerized Provider Order Entry (CPOE) process, a subset of Electronic Medical Records (EMR) and presents factors necessary for the successful implementation of CPOE. Through the review of current literature and interviews with CPOE vendor implementers, this p

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Dorr, Vanessa. "PREVALENCE AND CHARACTERISTICS OF COMPUTERIZED PROVIDER ORDER ENTRY SYSTEMS IN THE US." Thesis, The University of Arizona, 2003. http://hdl.handle.net/10150/610468.

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Though computerized provider /physician order entry (CPOE) has received great attention in recent years as a means to reduce medical errors, studies to determine its prevalence and characteristics are limited. This descriptive study was undertaken to replicate and extend the work of Ash, Gorman and Hersh (1998) via a telephone survey in an effort to determine the change in prevalence of CPOE over time as well as characteristics of systems in place, characteristics of facilities with and without CPOE in place, goals of CPOE, formal CPOE evaluation completion and plans to implement CPOE.

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Kruse, Clemens. "An Analysis of the External Environmental and Internal Organizational Factors Associated With Adoption of the Electronic Health Record." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/3006.

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Despite a Presidential Order in 2004 that launched national incentives for the use of health information technology, specifically the Electronic Health Record (EHR), adoption of the EHR has been slow. This study attempts to quantify factors associated with adoption of the EHR and Computerized Provider Order Entry (CPOE) by combining multiple organizational theories and empirical studies. The study is conducted in two phases. The primary phase of this study identifies and evaluates the effects of external environmental and internal organizational factors on healthcare organizations to adopt

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4

Varghese, Renny. "Impact of an Electronic Medical Record Implementation on Drug Allergy Overrides in a Large Southeastern HMO Setting." Digital Archive @ GSU, 2007. http://digitalarchive.gsu.edu/iph_theses/14.

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Renny Varghese Impact of an Electronic Medical Record Implementation on Drug Allergy Overrides in a Large Southeastern HMO Setting (Under the direction of Russell Toal, Associate Professor) Electronic medical records (EMRs) have become recognized as an important tool for improving patient safety and quality of care. Decision support tools such as alerting functions for patient medication allergies are a key part of reducing the frequency of serious medication problems. Kaiser Permanente Georgia (KPGA) implemented its EMR system in the primary care departments at Kaiser's twelve facilities

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Georgiou, Andrew. "The organisational and communication implications of electronic ordering systems for hospital pathology services." Thesis, The University of Sydney, 2009. http://hdl.handle.net/2123/4653.

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Computerised Provider Order Entry (CPOE) systems provide clinicians with the ability to electronically enter hospital orders for laboratory tests and services. CPOE is able to integrate with hospital information systems and provide point of care decision support to users thereby making a potentially significant contribution to the efficiency and effectiveness of care delivery. The evidence of the impact of CPOE systems on pathology services is not extensive and insufficient attention has been paid to their effect on organisational and communication processes. This thesis aimed to investigate t

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Georgiou, Andrew. "The organisational and communication implications of electronic ordering systems for hospital pathology services." University of Sydney, 2009. http://hdl.handle.net/2123/4653.

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Doctor of Philosophy<br>Computerised Provider Order Entry (CPOE) systems provide clinicians with the ability to electronically enter hospital orders for laboratory tests and services. CPOE is able to integrate with hospital information systems and provide point of care decision support to users thereby making a potentially significant contribution to the efficiency and effectiveness of care delivery. The evidence of the impact of CPOE systems on pathology services is not extensive and insufficient attention has been paid to their effect on organisational and communication processes. This thesi

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Krive, Jacob. "Effectiveness of Evidence-Based Computerized Physician Order Entry Medication Order Sets Measured by Health Outcomes." NSUWorks, 2013. http://nsuworks.nova.edu/gscis_etd/202.

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In the past three years, evidence based medicine emerged as a powerful force in an effort to improve quality and health outcomes, and to reduce cost of care. Computerized physician order entry (CPOE) applications brought safety and efficiency features to clinical settings, including ease of ordering medications via pre-defined sets. Order sets offer promise of standardized care beyond convenience features through evidence-based practices built upon a growing and powerful knowledge of clinical professionals to achieve potentially more consistent health outcomes with patients and to reduce frequ

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8

Sword, Lisa A. "A readiness assesment (sic) preparation for implementation of computerized physician order entry /." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005swordl.pdf.

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Fuller, Chevita. "Refining Computerized Physician Order Entry Initiatives in an Adult Intensive Care Unit." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/115.

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Computerized physician order entry (CPOE) is used in healthcare organizations to improve workflow processes and transcription, as well as to prevent prescribing errors. Previous research has indicated challenges associated with CPOE for end-users that predispose patients to unsafe practices. Unsafe CPOE practices can be detrimental within the intensive care unit (ICU) setting due to the complexity of nursing care. Consequently, end-user satisfaction and understanding of CPOE and electronic health record (EHR) functionality are vital to avoid error omissions. CPOE initiatives should be refined

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10

Davidson, Angela R. "Computerized physician order entry| An outlook on successful implementation among ambulatory care settings." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1527367.

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<p> The purpose of this study is to investigate the relationship and pattern of Computerized Physician Order Entry (CPOE) implementation among various ambulatory care settings. With the increasing focus on cost reduction and improved efficiency of the healthcare industry, successful CPOE implementation would benefit many providers. The research entails an analysis of practice setting characteristics that may provide insight to the future of CPOE full adoption. Through secondary data analysis on the responses collected from the Electronic Medical Records Supplemental Survey (within the 2009 Nat

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Hoffstatter, John Arthur. "Preconceived Physician Attitude Toward Computerized Physician Order Entry (CPOE): Implications for Successful Implementation." UNF Digital Commons, 2004. http://digitalcommons.unf.edu/etd/240.

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There has been a societal and legislative push to implement computerized physician order entry (CPOE) systems throughout hospitals nationally in recent years due in large part to the public's awareness of an inordinate number of patient deaths due to medication errors in hospital settings. This mortality, and untold morbidity, became even more unacceptable when published findings suggested the majority of these 100,000 deaths each year could be avoided through the use of CPOE systems. Yet acceptance has been slow and only a fraction of the hospitals have implemented this technology due to larg

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Sachidanandam, Sivanarulselvan. "Why Physicians Do Or Do not Use Computerized Physician Order Entry Systems: Applying the Technology Acceptance Model." Connect to this title online, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1151258487.

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13

Edwards, Paula Jean. "Electronic medical records and computerized physician order entry examining factors and methods that foster clinician IT acceptance in pediatric hospitals /." Diss., Available online, Georgia Institute of Technology, 2006, 2006. http://etd.gatech.edu/theses/available/etd-07092006-121434/.

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Thesis (Ph. D.)--Industrial and Systems Engineering, Georgia Institute of Technology, 2007.<br>Flowers, Christopher, Committee Member ; Jose, James, Committee Member ; Jacko, Julie, Committee Chair ; Sainfort, Francois, Committee Member ; Vidakovic, Brani, Committee Member.

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14

Solti, Imre. "Influence of Organizational, Operational, Financial AndEnvironmental Factors on Hospitals' Adoption of Computerized Physician Order Entry Systems for Improving Patient Safety: A Resource Dependence Approach." VCU Scholars Compass, 2006. https://scholarscompass.vcu.edu/etd/1283.

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This study examines specific organizational, operational, financial and environmental characteristics to identify factors that are associated with increased likelihood of hospitals' CPOE adoption decision in six rollout regions of the Leapfrog initiatives.Resource dependence theory provides theoretical basis for the study. The study is retrospective observational in design. Individual hospitals are the unit of analysis. The Leapfrog Group's 2002-survey collection serves the primary data source. Univariate statistical methods along with bivariate and ordinal logistic regression models are used

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Oluokun, Oluwatosin Tolulope. "Strategies to Mitigate Information Technology Discrepancies in Health Care Organizations." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6257.

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Medication errors increased 64.4% from 2015 to 2018 in the United States due to the use of computerized physician order entry (CPOE) systems and the inability to exchange information among health care facilities. Healthcare information exchange (HIE) and subsequent discrepancies resulted in significant medical errors due to the lack of exchangeable health care information using technology software. The purpose of this qualitative multiple case study was to explore the strategies health care business managers used to manage computerized physician order entry systems within health care facilitie

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16

Vito, Rosabella. "The impact of computerized provider order entry on nursing practice." Thesis, 2016. http://hdl.handle.net/1828/7430.

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The Institute of Medicine reported seven thousand deaths annually due to medication errors. It is estimated that two out of one hundred admissions experience a preventable adverse medication event resulting in an average cost of $4,700 per admission, which is $2.8 million dollars annually for a 700 bed hospital (Institute of Medicine, 1999). In Canada, medication related errors were identified as the most common adverse event (Canadian Institute for Health Information, 2007). A medication error is “any error that occurs during the process of history taking, ordering, dispensing, administering

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Alcide, Niiokai. "Computerized Provider Order Entry: Initial Analysis of Current and Predicted Provider Ordering Workflow." Thesis, 2009. http://hdl.handle.net/1807/18133.

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Background: Computerized Provider Order Entry (CPOE) allows providers to enter medication and service orders electronically. Workflow analysis is a critical component of CPOE implementation. Objectives 1. To develop a nosology for provider ordering workflow. 2. To describe actual provider ordering workflow focusing on chart and computer usage 3. To model the impact of computerized ordering on provider workflow in three future state scenarios Method: 20 hours of participant observation was performed for nosology development, time motion studies totaling 47 and predictive modeling projected effe

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18

Chan, Julie Min-Ting. "Evaluating the Efficiency, Usability and Safety of Computerized Order Sets in Sunnybrook Health Sciences Centre's Computerized Provider Order Entry System." Thesis, 2009. http://hdl.handle.net/1807/18243.

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Few studies examine technical barriers, such as usability, to successful Computerized Provider Order Entry (CPOE) system implementation. This thesis explores this literature gap through the evaluation of the Sunnybrook CPOE order set system with a heuristic evaluation of the Sunnybrook CPOE system, the development of a more user friendly CPOE order set interface (Test Design), and a usability study comparing three order set formats (Sunnybrook CPOE, Test Design, and paper order sets). A randomized trial was conducted with 27 Sunnybrook physicians at the hospital. Results showed that the Sunnyb

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19

"Computerized Provider Order Entry And Health Care Quality On Hospital Level Among Pediatric Patients During 2006-2009." 2016.

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Lu, Hsiao-ming, and 呂曉明. "Explore unanticipated consequences from adoption of Computerized Provider Order Entry in hospital under National Healthcare Insurance." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/99551191929694068549.

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碩士<br>國立雲林科技大學<br>資訊管理系碩士班<br>97<br>This research explored both the desirable and undesirable consequences produced from usage of computerized provider order entry (CPOE), and applied depth-interview method to interview three roles of the medical administration, physicians and information staffs. These identified consequences discussed detailed by categories of functionality of CPOE. Total 178 consequences were extracted from transcribed document of recording interviews, and identified 158 critical consequences through the panel rating. We coded these consequences based on stakeholders, functi

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"The effects of computerized provider order entry on medication turn-around time : a time-to-first dose study at the Providence Portland Medical Center : capstone project." Oregon Health & Science University, 2006. http://content.ohsu.edu/u?/etd,641.

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YUI, BEY-HWA, and 于蓓華. "Computerized Physician Order Entry System：An Acceptance of Computerized Physician Order Entry System：An Acceptance of Interface Usability and Satisfaction Survey." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/08295148440885732940.

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碩士<br>國立台北護理學院<br>護理研究所<br>97<br>Due to the rapid development of information technology, many computer systems are installed in various health organizations for clinical medicine application. A lot of research and papers have focused on CPOE (computerized physician order entry) system interface design and functional development. The purpose of this paper was aimed at evaluating acceptance and satisfaction of CPOE system interface by physicians. This survey included interface design, operation functions and effectiveness of usage, interface usability and satisfaction with CPOE. We used questio

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"Computerized order entry and decision support in pediatrics." Oregon Health & Science University, 2003. http://content.ohsu.edu/u?/etd,604.

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24

Teasdale, Carla M. "Nursing perceptions of a computerized physcian order entry system." 2008. http://proquest.umi.com/pqdweb?did=1500082951&sid=1&Fmt=2&clientId=42585&RQT=309&VName=PQD.

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Thesis (M.A.)--Northern Kentucky University, 2008.<br>Made available through ProQuest. Publication number: AAT 1450571. ProQuest document ID: 1500082951. Includes bibliographical references (p. 76-78)

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Churchill, Brian E. "Perceptions of community hospital physicians on computerized physician order entry." Thesis, 2004. http://hdl.handle.net/1957/30961.

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Objectives: To identify the perceptions of community hospital physicians on computerized physician order entry. Design: Multi-method approach consisting of a mail survey of 659 community hospital physicians with active admitting privileges at three PeaceHealth, Inc., along with follow-up personal interviews with stratified random selection from completed survey. Measurements: Perceptions were assessed by means of a mail survey that asked physicians to rank themselves on a scale that represented the five adopter categories contained in the Diffusion of Innovation (DOI) change theory, along with

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Huang, Jeremy, and 黃瑞明. "Study on the user oriented computerized physician order entry of health center." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/05692148210443386430.

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碩士<br>長榮大學<br>醫務管理學研究所<br>94<br>Computerized drug order entry takes the place of Hand written order by degrees. Under the basis of the rapid data-processing the patient safety and medication error may be improved apparently by computerized drug order entry(CDOE) or computerized physician order entry(CPOE), although packaged software avails the practitioner of some assistance, there is limited use friendly. PHIS was operated by the health center all over the country and maintained regularly by the health information network service center of DOH. Function of PHIS and the EZ-HIS supported b

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蕭景元. "Improvement of the Human-Computer Interaction of the Computerized Physician Order Entry Systems." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/25471183582681829223.

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Ya-Cheng, Lee, and 李雅蓁. "Effects of a computerized physician order entry improvement on near miss of doctor’s prescriptions." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/18935955180722165008.

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碩士<br>亞洲大學<br>健康產業管理學系健康管理組碩士在職專班<br>100<br>Background：Institute of Medicine (IOM) proposed the utilization of medical information technology in 2004, as one of means to promote the patient safety. The employment of medical information technology not only could provide in-time interpretation information to medical professionals, but also avoid near miss events. Therefore, this research intends to analyze the effects of implementing computerized physician order entry (CPOE) on the near miss improvement of physicians’ prescription. Methods：The study used One-Group Pretest-Posttest Design to inve

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Kuo, Yu-Chun, and 郭育君. "Enhanced Hospital Service Strategic Actions in Integrated the Insurance Card and Computerized Prescriber Order Entry." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/29023660456585430095.

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碩士<br>中國文化大學<br>資訊管理學系<br>101<br>After the coming of the information era, it becomes a necessity for all hospitals to purchase and maintain a Hospital Information System (HIS). The HIS plays a very important role in carrying out clinical service and hospital management. The medical prescription system is a core component of HIS. It assists physicians in checking orders, drug use and keeping medical records. A good prescription system will improve medical service, diagnosis and control of hospital expense. Therefore, our study focused on the integration of IC card information with the prescri

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Taffel, Jared Ross. "Acpoe and PDA-Based CDSS: A Review of Their Patient Safety Effectiveness." Thesis, 2010. http://hdl.handle.net/1805/2150.

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Ambulatory Computerized Provider Order Entry and PDA-Based Clinical Decision Support Systems: An Investigation of Their Patient Safety Effectiveness Via an Integrated and Systematic Review: Substantial research has been done on inpatient provider order entry systems with varying degrees of clinical decision support. Such studies have examined how these technologies impact patient safety as well as the quality and cost of care. However, given that most medical care and prescriptions are administered in an ambulatory setting, the dearth of research on ACPOE systems is quite astonishing. This

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"Physician acceptance of Computerized Physician Order Entry in outpatient settings: A quantitative analysis of family medicine within Maricopa County, Arizona." CAPELLA UNIVERSITY, 2009. http://pqdtopen.proquest.com/#viewpdf?dispub=3352499.

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Lee, Chia-Long, and 李嘉龍. "Factors Influencing Implementation of Computerized Physician Order Entry (CPOE) in Hospitals － Experiences From a Medical Health Network in Northern Taiwan." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/27826714764737060521.

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碩士<br>國立臺灣大學<br>資訊管理組<br>100<br>Since the publication of “To Err is Human” by the Institute of Medicine in 1999, patients’ safety and care quality has become the top priority task force for every hospital. Application of information technologies (IT) in current era is feasible and practical. However, implementations of IT systems always encounter entry barriers, especially by doctors due to their heavy work load and practice culture. After implementation of computerized physician order entry (CPOE) system in the hospitals of a medical health network in Northern Taiwan, 203 medical personnel wh

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Nguyen, Phung Anh (Alex), and 顏安峰. "“Big Data” Approach to Improve Patient Safety and Reduce Medication Errors in Computerized Physician Order Entry (CPOE) system: A Probabilistic Model." Thesis, 2013. http://ndltd.ncl.edu.tw/handle/6nw2v9.

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博士<br>國立陽明大學<br>生物醫學資訊研究所<br>102<br>Health information technology (HIT) is the area where health care experts, policymakers, payers, and consumers consider health information technologies, such as electronic health records (EHR) and computerized physician order entry (CPOE), to be critical to transforming the health care industry. Due to the rapid pace of change in technology that had dramatically increased health data accumulated by the health providers. The allure of big data and healthcare analytics is that they can unlock the potential of this information by extracting, analyzing, and maki

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"The Impact of Computerized Physician Order Entry System on Medication Administration Time by Nurses in a Public Hospital in Hong Kong: A Pilot Study." 2016. http://repository.lib.cuhk.edu.hk/en/item/cuhk-1292159.

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背景:越來越多證據支持在醫院實行電子醫囑系統(CPOE)可以有效減少用藥錯誤，但CPOE可能會影響藥物應用時間，對病人護理效率有潛在的影響，本研究的系統評價結果顯示，CPOE與手寫醫囑比較下，CPOE能有效地減低整體藥物應用時間, 特別是由處方至配藥程序的時間，但CPOE對於派藥時間的影響卻未能確定。<br>研究目的：本準實驗性研究在於探討CPOE對護士派藥時間的潛在影響，及此系統對於護理品質的影響。<br>研究方法：本研究採取一個非隨機化的實驗設計，以直接觀察及時間和運行方法收集資料，研究地點是一間香港社區醫院，實驗組為一間已實行CPOE的內科病房，對照組為一間仍以手寫醫囑派藥的腫瘤科病房，本研究共收集了由二十五位護士執行的一百二十個派藥時間（每個病房各有六十個），為了要控制護士的聚類效果及潛在混淆變數的影響，使用Generalized Estimating Equation (GEE) 以比較兩組的派藥時間差矩，同時收集實驗組在實行CPOE開始之前及後六個月內的護理品質指標以作比較，包括：病人跌倒率、褥瘡率、藥物事故數目、及病人平均住院日數等。<br>結果：CPOE派藥與手寫醫囑比較下，前者使用較短的派藥時間（CPOE：Mean = 43.42 + 23.99秒 Vs 手寫醫囑：Mean = 79.9 +57.63秒），而且CPOE對於縮短派藥時間有統計學上的重大效果 ( Ma

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Solti, Imre. "Influence of organizational, operational financial and environmental factors on hospitals' adoption of computerized physician order entry systems for improving patient safety : a resource dependence approach /." 2006. http://hdl.handle.net/10156/1943.

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Markham, Paul A. "Transformational leadership and physician acceptance of computerized physician order entry systems and electronic medical records and the role of Chief Medical Information Officers in the United States." Thesis, 2012. http://hdl.handle.net/1959.13/931668.

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Professional Doctorate - Doctor of Business Administration (DBA)<br>Researchers, industry analysts and the broader medical fraternity generally agree that physician adoption of healthcare technology is vital to the advancement of healthcare outcomes and cost effectiveness. Accordingly, there is a vast body of research into technology design, implementation process methodology, total cost of ownership and many other technical factors. However, there is minimal research into the humanistic socio-medical components such as leadership, particularly transformational leadership. In general ‘leadersh

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"A Model of Process-Based Automation: Cost and Quality Implications in the Medication Management Process." Doctoral diss., 2011. http://hdl.handle.net/2286/R.I.8931.

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abstract: The objective of this research is to understand how a set of systems, as defined by the business process, creates value. The three studies contained in this work develop the model of process-based automation. The model states that complementarities among systems are specified by handoffs in the business process. The model also provides theory to explain why entry systems, boundary spanning systems, and back-end control systems provide different impacts on process quality and cost. The first study includes 135 U. S. acute care hospitals. The study finds that hospitals which followed a

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