Computerized Provider Order Entry: Initial Analysis of Current and Predicted Provider Ordering Workflow
Year: 2009
Type: dissertation
Abstract: Background: Computerized Provider Order Entry (CPOE) allows providers to enter medication and service orders electronically. Workflow analysis is a critical component of CPOE implementation.\nObjectives\n1.\tTo develop a nosology for provider ordering workflow.\n2.\tTo describe actual provider ordering workflow focusing on chart and computer usage\n3.\tTo model the impact of computerized ordering on provider workflow in three future state scenarios\nMethod: 20 hours of participant observation was performed for nosology development, time motion studies totaling 47 and predictive modeling projected effects of possible implementation scenarios\nResults/Conclusions: Unique nosology was developed. Clinicians spent 27% of their time with the patient, 2.2% writing orders and 1.1% locating patient charts. Our study predicted that the E-All scenario (computerization of all orders) would be the best implementation choice.\nLimitations: Small sample size (25 clinicians), participant frame of reference and other assumptions may have affected the results of this study.
Source: TSpace (University of Toronto)
Author: Niiokai Alcide
Language: English
Subfield: Health Information Management
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2512918679
