Anjeli Aldueza, Luis Briones, Heidy De Mesa, Shirley Garay, Jocel Lafuente, Luisa Magsino, Savina Ong, Kenneth

Sugitan

Computerized Physician Order Entry or Computerized Provider Order Entry

not only physicians can use CPOE

A computer application that allows a physician's orders for diagnostic and treatment services (such as medications, laboratory, and other tests) to be entered electronically instead of being recorded on order sheets or prescription pads.

The physician logs into the web-based and inputs the patient's identification information, such as a medical record number. The physician indicates the test they want to order by choosing from a predetermined set of menus. The physician uses a series of check boxes to indicate the patient's symptoms, the individual's past history and the probable diagnoses. Once a test is chosen the system may alert the physician to previous outcomes for that test in other patients with the same signs and symptoms. Scheduling can be done online saving the patient and hospital valuable time. Once the appropriate test is performed, physicians caring for the patient will be notified immediately that images and text reports are available so that important clinical decisions can be made in a timely fashion.

Traditional Prescribing Prescribing

Computerized Prescribing

The physician writes the drugs to The physician encodes be prescribed to the patients (takes the drugs into the more than 1 minute) computer system (takes 20 seconds or less) The patient then goes to the pharmacy and presents the prescription written by the physician to the clerk. The clerk must read the prescription correctly and communicate it accurately to the pharmacist. The drug and patient infos then goes through the computer system automatically. (less than 1 second) The pharmacist sees the order in her computer system and approves dispensing.

Ordering

Transcribin g

Dispensing

Once, the prescription is validated, The clerk prepares the the clerk can now prepare the orders. order.

there will be no problems in terms of the hand writing errors of the physician there will be less errors against similar drug names (e.g isordil & isoptin), drug interactions & other related labeled errors there is an integration of electronic medical records of the patient to avoid over dispensing. there is decision support systems, and adverse drug event reporting systems faster transmission of information (less time less hassle for the physician, patient and pharmacist) economic savings

never-ending system demands problems related to persistence of paper orders unfavorable changes in communication patterns and practices negative feelings toward the new technology generation of new types of errors unexpected changes in an institution's power structure, organizational culture, or professional roles less bedside or patient-side time of physicians overdependence on the technology

Only 17% of hospitals in the US are using CPOE