Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals.
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.
Yu
Feliciano B
FB
Division of Emergency Medicine, Department of Pediatrics, University of Alabama at Birmingham, Children's Health System, 1600 7th Avenue South, Information Technology, Suite 200-14, Birmingham, AL 35233, USA. fyu@peds.uab.edu
Menachemi
Nir
N
Berner
Eta S
ES
Allison
Jeroan J
JJ
Weissman
Norman W
NW
Houston
Thomas K
TK
D014487:Centers for Medicare and Medicaid Services, U.S. / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D006739:Hospital Administration / Q000706:statistics & numerical data*; D006801:Humans; D050316:Medical Order Entry Systems / Q000458:organization & administration* / Q000706:statistics & numerical data*; D017063:Outcome Assessment, Health Care; D010607:Pharmacy Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data; D011785:Quality Assurance, Health Care / Q000458:organization & administration* / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care / Q000706:statistics & numerical data; D014481:United States