Talk to the Veterans Crisis Line now
U.S. flag
An official website of the United States government

Health Services Research & Development

Go to the ORD website
Go to the QUERI website

HSR&D Citation Abstract

Search | Search by Center | Search by Source | Keywords in Title

Using implementation safety indicators for CPOE implementation.

Weir CR, McCarthy CA. Using implementation safety indicators for CPOE implementation. Joint Commission Journal on Quality and Patient Safety. 2009 Jan 1; 35(1):21-8.

Dimensions for VA is a web-based tool available to VA staff that enables detailed searches of published research and research projects.

If you have VA-Intranet access, click here for more information vaww.hsrd.research.va.gov/dimensions/

VA staff not currently on the VA network can access Dimensions by registering for an account using their VA email address.
   Search Dimensions for VA for this citation
* Don't have VA-internal network access or a VA email address? Try searching the free-to-the-public version of Dimensions



Abstract:

BACKGROUND: A computerized provider order entry (CPOE) system can decrease errors and improve quality but also may increase errors and harm. Yet, the current state of the literature on CPOE is particularly impoverished regarding implementation strategies and process measures. VETERANS HEALTH ADMINISTRATION (VHA) CPOE IMPLEMENTATION: The VHA Computerized Patient Record System (CPRS), developed and implemented by the Department of Veterans Affairs (VA) at a national level, was designed to support physician order entry and electronic note entry. Implementation of CPRS was mandated for all clinical sites in the VA in a series of waves from 1997 through 2002. The study site, Salt Lake City Health Care System, is a 110-bed tertiary care university-affiliated facility. Local implementation was conducted in a staggered approach across clinical sites for a total implementation time of 24 months. Information theory is proposed as a basis for process assessment. Early in the process, the implementation team realized the need to create indicators to help monitor the process of change. RESULTS: The percent of orders entered by providers rose to 64% and leveled off. The percent of orders signed within four hours leveled off at 83%. The presence of inappropriate text orders (one-time review presented) was measured, and the percent of orders verified by nursing within two hours leveled off at 42%. DISCUSSION: Setting up an implementation monitoring process should start when the implementation process begins. Specific recommendations are as follows: (1) Start with the basic process measures, (2) set up reporting structures, and (3) start early with vendor negotiations. In conclusion, information theory provides an effective and efficient framework on which to base indicator development.





Questions about the HSR&D website? Email the Web Team.

Any health information on this website is strictly for informational purposes and is not intended as medical advice. It should not be used to diagnose or treat any condition.