Computerized physician order entry with clinical decision support in long-term care facilities: Costs and benefits to stakeholders

Journal of the American Geriatrics Society

Volumn 55, Issue 9, 2007, Pages 1451-1457

  Subramanian, Sujha ^a   Hoover, Sonja ^a   Gilman, Boyd ^a   Field, Terry S ^b   Mutter, Ryan ^c   Gurwitz, Jerry H ^b  

^a RTI INTERNATIONAL   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c AGENCY FOR HEALTHCARE RESEARCH AND QUALITY   (United States)

Author keywords

Computer decision support; Economics; Long term care

Indexed keywords

ARTICLE; CLINICAL DECISION MAKING; COMPUTER; COMPUTER PROGRAM; COST BENEFIT ANALYSIS; ECONOMIC ASPECT; HEALTH CARE COST; HEALTH CARE DELIVERY; HEALTH INSURANCE; HUMAN; LONG TERM CARE; MEDICAID; MEDICAL DOCUMENTATION; MEDICAL ORDER; MEDICAL PRACTICE; MEDICAL RECORD; NURSING CARE; NURSING HOME; PATIENT CARE; PHARMACEUTICAL CARE; PHYSICIAN; TREATMENT PLANNING;

ADVERSE DRUG REACTION REPORTING SYSTEMS; ASSISTED LIVING FACILITIES; COST-BENEFIT ANALYSIS; DECISION SUPPORT SYSTEMS, CLINICAL; HUMANS; LONG-TERM CARE; MEDICAL ORDER ENTRY SYSTEMS; ORGANIZATIONAL INNOVATION; UNITED STATES;

EID: 34548220858     PISSN: 00028614     EISSN: 15325415     Source Type: Journal    
DOI: 10.1111/j.1532-5415.2007.01304.x     Document Type: Article

References (21)

1. Gurwitz JH, Field TS, Judge J et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med 2005 118 : 251 258.
2. Bates DW, Leape LL, Cullen DJ et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA 1998 280 : 1311 1316.
3. Poon EG, Jha AK, Christino M et al. Assessing the level of healthcare information technology adoption in the United States: A snapshot. BMC Med Inform Decis Mak 2006 6 : 1 9.
4. Rochon PA, Field TS, Bates DW et al. Computerized physician order entry with clinical decision support in the long-term care setting: Insights from the Baycrest Centre for Geriatric Care. J Am Ger Soc 2005 53 : 1780 1789.
5. Poissant L, Pereira J, Tamblyn R et al. The impact of electronic health records on time efficiency of physicians and nurses: A systematic review. J Am Med Inform Assoc 2005 12 : 505 516.
6. Kaushal R, Shojania KG, Bates DW. Effects of computerized physician order entry and clinical decision support systems on medication safety: A systematic review. Arch Intern Med 2003 163 : 1409 1416.
7. National Spending for Long-Term Care. LTC Financing Project 2007. Georgetown University [on-line]. Available at. Accessed January 24, 2007.
8. Levy C, Epstein A, Landry L et al. Literature review and synthesis of physician practices in nursing homes [on-line]. October 17, 2005. Available at Accessed July 17, 2006.
9. Andrews T, DiFrancesco M, Gilliam M et al. Putting CPOE to work. Nurs Manage 2003 (Suppl) : 12 14.
10. Teich JM, Schmiz JL, O'Connell EM et al. An information system to improve the safety and efficiency of chemotherapy ordering. Proc AMIA Symp 1996, pp 498 502.
11. Tierney WM, Miller ME, Overhage JM et al. Physician inpatient order writing on microcomputer workstations. Effects on resource utilization. JAMA 1993 269 : 379 383.
12. Bates DW, Kuperman G, Teich JM. Computerized physician order entry and quality of care. Qual Manag Health Care 1994 2 : 18 27.
13. Shu K, Boyle D, Spurr C et al. Comparison of time spent writing orders on paper with computerized physician order entry. Medinfo 2001 10 (Part 2) : 1207 1211.
14. Koppel R, Metlay JP, Cohen A et al. Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005 293 : 1197 1203.
15. Han YY, Carcillo JA, Venkataraman ST et al. Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. Pediatrics 2005 116 : 1506 1512.
16. Nebeker JR, Hoffman JM, Weir CR et al. High rates of adverse drug events in a highly computerized hospital. Arch Intern Med 2005 165 : 1111 1116.
17. Shojania KG, Wald H, Gross R. Understanding medical error and improving patient safety in the inpatient setting. Med Clin North Am 2002 86 : 847 867.
18. Ash JS, Gorman PN, Hersh WR. Physician order entry in US hospitals. Proc AMIA Symp 1998, pp 235 239.
19. deBrantes F, Glaser J, Marchibroda J. Financial Incentives for Adoption of Health Information Technology by Healthcare Deliverers [on-line]. Available at Accessed May 17, 2007.
20. Computerized Physician Order Entry: Costs, Benefits and Challenges of CPOE - A Case Study Approach. 2003. First Consulting Group [on-line]. Available at Accessed January 22, 2007.
21. CMS-OSCAR Form 671 Current Survey as of June 2005. Centers for Medicare and Medicaid Services [on-line]. Available at Accessed January 25, 2007.