Comparison of time spent writing orders on paper with computerized physician order entry

Kirstin Shu; Deborah Boyle; Cynthia Spurr; Jan Horsky; Heather Heiman; Paula O'Connor; John Lepore; David W. Bates

doi:10.3233/978-1-60750-928-8-1207

Comparison of time spent writing orders on paper with computerized physician order entry

Kirstin Shu, Deborah Boyle, Cynthia Spurr, Jan Horsky, Heather Heiman, Paula O'Connor, John Lepore, David W. Bates^*

^*Corresponding author for this work

Medicine, General Medicine Division

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

90 Scopus citations

Abstract

Computerized physician order entry (CPOE) has been shown to improve quality, and to reduce resource utilization, but most available data suggest that it takes longer to enter orders using CPOE. We had previously implemented a CPOE system, and elected to evaluate its impact on physician time in the new setting. To do this, we performed a prospective study using random reminder methodology. Key findings were that interns spent 9.0% of their time ordering with CPOE, compared to 2.1% before, although CPOE saved them an additional 2% of time, so that the net difference was 5% of their total time. However, this is counterbalanced by decreased time for other personnel such as nursing and pharmacy, and by the quality and efficiency changes. We conclude that while CPOE has many benefits, it represents a major process change, and organizations must factor this in when they implement it.

Original language	English (US)
Title of host publication	MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics
Publisher	IOS Press
Pages	1207-1211
Number of pages	5
ISBN (Print)	1586031945, 9781586031947
DOIs	https://doi.org/10.3233/978-1-60750-928-8-1207
State	Published - Jan 1 2001
Event	10th World Congress on Medical Informatics, MEDINFO 2001 - London, United Kingdom Duration: Sep 2 2005 → Sep 5 2005

Publication series

Name	Studies in Health Technology and Informatics
Volume	84
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Other

Other	10th World Congress on Medical Informatics, MEDINFO 2001
Country/Territory	United Kingdom
City	London
Period	9/2/05 → 9/5/05

ASJC Scopus subject areas

Biomedical Engineering
Health Informatics
Health Information Management

Access to Document

10.3233/978-1-60750-928-8-1207

Cite this

Shu, K., Boyle, D., Spurr, C., Horsky, J., Heiman, H., O'Connor, P., Lepore, J., & Bates, D. W. (2001). Comparison of time spent writing orders on paper with computerized physician order entry. In MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics (pp. 1207-1211). (Studies in Health Technology and Informatics; Vol. 84). IOS Press. https://doi.org/10.3233/978-1-60750-928-8-1207

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abstract = "Computerized physician order entry (CPOE) has been shown to improve quality, and to reduce resource utilization, but most available data suggest that it takes longer to enter orders using CPOE. We had previously implemented a CPOE system, and elected to evaluate its impact on physician time in the new setting. To do this, we performed a prospective study using random reminder methodology. Key findings were that interns spent 9.0% of their time ordering with CPOE, compared to 2.1% before, although CPOE saved them an additional 2% of time, so that the net difference was 5% of their total time. However, this is counterbalanced by decreased time for other personnel such as nursing and pharmacy, and by the quality and efficiency changes. We conclude that while CPOE has many benefits, it represents a major process change, and organizations must factor this in when they implement it.",

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Shu, K, Boyle, D, Spurr, C, Horsky, J, Heiman, H, O'Connor, P, Lepore, J & Bates, DW 2001, Comparison of time spent writing orders on paper with computerized physician order entry. in MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics. Studies in Health Technology and Informatics, vol. 84, IOS Press, pp. 1207-1211, 10th World Congress on Medical Informatics, MEDINFO 2001, London, United Kingdom, 9/2/05. https://doi.org/10.3233/978-1-60750-928-8-1207

Comparison of time spent writing orders on paper with computerized physician order entry. / Shu, Kirstin; Boyle, Deborah; Spurr, Cynthia et al.
MEDINFO 2001 - Proceedings of the 10th World Congress on Medical Informatics. IOS Press, 2001. p. 1207-1211 (Studies in Health Technology and Informatics; Vol. 84).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

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Comparison of time spent writing orders on paper with computerized physician order entry

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