title: The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units.
abstract: The literature shows that communication in health care is one of the most important factors associated with quality of care and patients safety. Especially in Intensive Care Units (ICUs) communication is of importance, due to the characteristics of the setting. However, relatively little is known about the different aspects of communication in health care and how Computerized Provider Order Entry (CPOE) implementation may impact communication, and consequently, quality of care. In this study we adapted an existing questionnaire developed by Shortell et al. to examine the impact of CPOE implementation on communication in a repeated cross-sectional design (6 months before implementation, 3 months after implementation and one-year after implementation). Results show overall that CPOE did not have a negative effect on communication, especially in the long term.
authors.affiliation: Center for Quality and Productivity Improvement, University of Wisconsin-Madison, Madison, WI, USA. phoonakker@cqpi.engr.wisc.edu
authors.forename: Peter L T
authors.initials: PL
authors.lastname: Hoonakker
authors.forename: Pascale
authors.initials: P
authors.lastname: Carayon
authors.forename: James M
authors.initials: JM
authors.lastname: Walker
authors.forename: Roger L
authors.initials: RL
authors.lastname: Brown
authors.forename: Randi S
authors.initials: RS
authors.lastname: Cartmill
mesh_terms: D000328:Adult; D003142:Communication; D003430:Cross-Sectional Studies; D020000:Decision Support Systems, Clinical / Q000458:organization & administration; D004360:Drug Therapy, Computer-Assisted; D005260:Female; D006282:Health Personnel / Q000458:organization & administration*; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D008297:Male; D050316:Medical Order Entry Systems / Q000458:organization & administration*; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D008875:Middle Aged