title: Impact of computerised provider order entry system on nursing workflow, patient safety, and medication errors: perspectives from the front line.
abstract: There is a paucity of research on the impact of computerised provider order entry (CPOE) system on the front line staff. We assessed nurses perspectives of the impact of CPOE system implementation on their workflow, patient safety and medication errors in a Saudi Arabian hospital. We conducted a cross-sectional survey involving 112 nurses between April and May 2012. The workflow was easy to manage for nurses who rated CPOE training as of good quality (p = 0.001) and they found that CPOE helped in reducing medication errors (p = 0.001). The nurses who rated CPOE training as of good quality also stated that patient safety was better with CPOE implementation and its use (p < 0.05). Provision of adequate CPOE training improves nurses' perception of the system's role in their workflow, patient safety and medication errors, and is critical in the success of CPOE use and its long-term adoption.
authors.affiliation: Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 22490, 11426, Riyadh, Saudi Arabia.
authors.forename: Fatimah
authors.initials: F
authors.lastname: Alsweed
authors.affiliation: Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 22490, 11426, Riyadh, Saudi Arabia.
authors.forename: Anwar
authors.initials: A
authors.lastname: Alshaikh
authors.affiliation: Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 22490, 11426, Riyadh, Saudi Arabia.
authors.forename: Anwar
authors.initials: A
authors.lastname: Ahmed
authors.affiliation: Department of Epidemiology and Biostatistics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 22490, 11426, Riyadh, Saudi Arabia.
authors.forename: Faisel
authors.initials: F
authors.lastname: Yunus
authors.affiliation: Department of Health Informatics, College of Public Health and Health Informatics, King Saud Bin Abdulaziz University for Health Sciences, P.O. Box 22490, 11426, Riyadh, Saudi Arabia.
authors.forename: Mowafa
authors.initials: M
authors.lastname: Househ
mesh_terms: D001291:Attitude of Health Personnel; D001292:Attitude to Computers; D003430:Cross-Sectional Studies; D006801:Humans; D007318:Inservice Training; D050316:Medical Order Entry Systems; D008508:Medication Errors / Q000517:prevention & control*; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D061214:Patient Safety; D012529:Saudi Arabia; D057188:Workflow
keywords: CPOE impact; CPOE training; Saudi Arabia; computerised order entry systems; medication errors; nurses; nursing workflow; patient safety; provider order entry systems; user perceptions; user satisfaction