Medical order entry system

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Medical order entry systems, also called computerized provider order entry systems (CPOE) are a component of an electronic health record and are defined as "information systems, usually computer-assisted, that enable providers to initiate medical procedures, prescribe medications, etc. These systems support medical decision-making and error-reduction during patient care."[1]

In the United States, the CPOE of the Veterans Health Administration, called VISTA/CPRS supports 'order dialogs', 'quick orders', and 'order sets'.[2]

CPOE can be used as a type clinical decision support system whose benefits can be shown in a randomized controlled trial[3] and other studies[4][5].

CPOE is one of the four recommendations by the Leapfrog Group.[6]

References

  1. Anonymous, (2009) Medical order entry systems (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Payne TH, Hoey PJ, Nichol P, Lovis C (2003). Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system. J Am Med Inform Assoc 10 (4): 322–9. DOI:10.1197/jamia.M1090. PMID 12668686. PMC 181982.
  3. Kucher N, Koo S, Quiroz R, et al (March 2005). Electronic alerts to prevent venous thromboembolism among hospitalized patients. N. Engl. J. Med. 352 (10): 969–77. DOI:10.1056/NEJMoa041533. PMID 15758007.
  4. Schedlbauer A, Prasad V, Mulvaney C, et al. (2009). What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?. J Am Med Inform Assoc 16 (4): 531–8. DOI:10.1197/jamia.M2910. PMID 19390110.
  5. Ozdas A, Speroff T, Waitman LR, Ozbolt J, Butler J, Miller RA (2006). Integrating "best of care" protocols into clinicians' workflow via care provider order entry: impact on quality-of-care indicators for acute myocardial infarction. J Am Med Inform Assoc 13 (2): 188–96. DOI:10.1197/jamia.M1656. PMID 16357360. PMC 1447538.
  6. The Leapfrog Group Fact Sheet. Retrieved on 2007-11-01.
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