Sample Nursing Paper on Computerized Provider Order Entry

Computerized Provider Order Entry

Healthcare systems around the world work hard to come up way of improving the delivery of services, for example through technological innovations and system. The computerized provider order entry (CPOE) is one of these avenues. It is a digital system in healthcare whereby healthcare providers enter and send treatment instructions, including laboratory, medication, and radiology orders through a computer application instead of fax, telephone, or paper. The system has helped in the reduction of medical-related errors that are commonplace in health care facilities. CPOE offers many features that make it outstanding in a healthcare system with ordering being one of them. With the system, it is easy for the physician to enter orders by the clinicians into a laptop or any other secure mobile device. Patient safety has been one of the contentious issues in the healthcare system. However, with its patient safety features, CPOE allows care providers when it comes to real-time identification of patients, conducting reviews of recommended dosages for patients, and screening patients for adverse drug-to-disease or drug-to-drug interactions.

Example of Computerized Provider Order Entry

One of the examples of CPOE is the integrated system, which has witnessed significant growth over the past years when compared to the standalone type. Integrated CPOE systems have the provision of being connected to every hospital department where it offers added advantage of reduced time for documentation thereby promoting time as well as resource management. For example, its software can be connected to the pharmacy for verification, documentation, and dispensing leading to a more accurate dispensing of medication. The integrated system is helpful since it helps in maintaining an optional inventory system.  It has two main components, including hardware and software and is connected to a high-speed network that is part of its software system. Additionally, it has a real-time data tracking system and remote access to data, which are its notable advantage (Prgomet, Li, Niazkhani, Georgiou, & Westbrook, 2016). It has a provider order entry application that uses the web and cloud-based delivery system.

Other than the hardware and software, the system has a service component. In 2015, this component held a substantial share and had been showing a steady growth through 2016 to 2018. 2017 with the trend projected to continue to 2024 (Connelly & Korvek, 2017). This component has significantly reduced the cost of the workforce in various healthcare departments. The primary end users of integrated systems include ambulatory centers, hospitals, emergency healthcare services, hospitals, and physicians. The end-user segment dominates due to greater financing capabilities and a large number of patients. This type of CPOE can transcribe handwritten information. The pharmacist only needs to read and understand the prescription.

The design of CPOE systems allow them to mimic paper chart workflow (Rai, Keil, & Mindel, 2015). It is used alongside the e-prescribing system, and it has the potential of alerting the clinicians or physicians of the patients’ drug allergy and the right medication to administer. The system supports evidence-based, standardized, and legible orders. With proper clinical decision support, CPEO has been proven to improve patient safety and quality care by reducing medical errors at various stages of care delivery. In a typical healthcare setting, the system has proven to be instrumental in accelerating the process of ordering and care delivery as well as improving efficiency and reducing the number of people required to participate in a clinical workflow.

Personal experience

Having worked with the system for six months, I have come to realize that CPOE has several benefits to organizations. For instance, it can improve patient safety,  one of the major concerns not only for health professionals but also governments and the general public. My experience with this system has led me to conclude that the system can reduce some medical errors, including prescription mistakes thus improve patient safety. CPOE can help organizations to minimize errors because it ensures that the providers produce legible, standardized, and complete orders. I have also realized that the system has an in-built clinical decision support tools that check interaction of drugs automatically. At one time, it was easy for me to check for patient medication allergies and other potential problems encountered when using traditional paperwork. Moreover, using the system has enabled me to understand that it is possible to achieve efficiency in care delivery. I have realized that CPOE systems are designed to improve efficiency. It enables providers to submit orders electronically. Indeed, is easy to send laboratory, medication, and radiology orders to laboratories, pharmacies, and radiology departments very fast when using CPOE, which is important in improving efficiency and saving time (Green et al., 2015). Traditionally, some orders in the hospital require prior approvals for an insurance plan. In most cases, hospitals have witnessed situations where they are denied insurance claims.

I found the CPOE system to be essential in improving reimbursements and reduce the denied insurance claims because when it is integrated with EPMS, it can easily identify and flag off orders that require prior approval, which would otherwise result in reimbursement challenges. Generally, based on my experience, I believe that CPOE has several benefits over the ordinary paper-based order-writing system given its role in averting challenges that often encountered in handwriting, drug interactions, differentiating drugs with similar names, and specification errors (Green et al., 2015). Once they are integrated with electronic medical records, the technology influences decision-making processes.

Despite its effectiveness and efficiency, I realized that some physicians have been slow in embracing the use of CPOE due to implementation costs as well as reduced productivity. However, this aspect can be improved by the gradual implementation. The problem is related to lack of procedural implementation, which ideally should begin with initiation, planning, execution, monitoring and controlling, making a transition to the operation, and finally optimization and maintenance. An advantage is that it is easy to measure the positive impact of the CPOE system once the system is implemented and put into use.

Conclusion

The healthcare sector is critical because it deals with the lives of people hence there is a need to ensure that it operates at its best. Different technologies and systems have been put in place to improve the efficiency of healthcare institutions around the world. CPOE is one of the best ways of improving efficiency and technology use in healthcare. The system functions by making it easy for providers to correctly perform their duties and very hard for them to do wrong things. With CPOE, the chances of medication errors are minimal. It is a cornerstone for patient safety. The fact that it is being embraced fast around the world means that the problem of medication errors could soon be eradicated.

 

 

References

Connelly, T. P., & Korvek, S. J. (2017). Computer Provider Order Entry (CPOE). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK470273/

Green, R. A., Hripcsak, G., Salmasian, H., Lazar, E. J., Bostwick, S. B., Bakken, S. R., & Vawdrey, D. K. (2015). Intercepting wrong-patient orders in a computerized provider order entry system. Annals of emergency medicine65(6), 679-686. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447590/

Prgomet, M., Li, L., Niazkhani, Z., Georgiou, A., & Westbrook, J. I. (2016). Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta-analysis. Journal of the American Medical Informatics Association24(2), 413-422. Retrieved from https://academic.oup.com/jamia/article/24/2/413/2907924

Rai, A., Keil, M., & Mindel, V. (2015). How Does Computerized Provider Order Entry Implementation Impact Clinical Care Quality, Cycle Time, and Physician Job Demand Over Time?. Retrieved from https://aisel.aisnet.org/icis2015/proceedings/IShealth/4/