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Article
Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals
Quantitative Health Sciences Publications and Presentations
  • Feliciano B. Yu, University of Alabama
  • Nir Menachemi
  • Eta S. Berner
  • Jeroan J. Allison, University of Massachusetts Medical School
  • Thomas K. Houston, University of Alabama
  • Thomas K. Houston, University of Massachusetts Medical School
UMMS Affiliation
Department of Quantitative Health Sciences
Date
6-9-2009
Document Type
Article
Medical Subject Headings
Centers for Medicare and Medicaid Services (U.S.); data; Cross-Sectional Studies; Hospital Administration; Humans; Medical Order Entry Systems; numerical data; Outcome Assessment (Health Care); Pharmacy Service, Hospital; numerical data; Quality Assurance, Health Care; and numerical data; Quality Indicators, Health Care; United States
Abstract
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.
Rights and Permissions
Citation: Am J Med Qual. 2009 Jul-Aug;24(4):278-86. Epub 2009 Jun 5. Link to article on publisher's site
Related Resources
Link to Article in PubMed
Citation Information
Feliciano B. Yu, Nir Menachemi, Eta S. Berner, Jeroan J. Allison, et al.. "Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals" Vol. 24 Iss. 4 (2009) ISSN: 1062-8606 (Linking)
Available at: http://works.bepress.com/jeroan_allison/33/