Computerized provider order entry in pediatric oncology: Design, implementation, and outcomes

Allen R. Chen, Christoph U. Lehmann

Research output: Contribution to journalShort survey

20 Scopus citations

Abstract

Purpose: Pediatric oncology is a challenging environment for computerized provider order entry (CPOE). Our goal was to build on the proven safety features of CPOE and facilitate input of expert clinicians. Methods: A standard, commercially available CPOE system was implemented throughout the hospital. The design of the pediatric oncology implementation was a collaborative effort by a multidisciplinary team of clinicians and information technology experts. Results: During 9 months of configuration effort, 30 medical logic modules and 110 order sets were developed to support pediatric oncology. The proportion of chemotherapy orders submitted using specific research protocol or standard-of-care order sets increased from 57% to 84% as the number of active order sets grew to 200. The number of medication-related patient safety events decreased 39% after implementation of CPOE in pediatric oncology. Acceptance of the system is high in all clinical disciplines. Conclusion: Implementation of CPOE required extensive customization but improved patient safety in this highly complex pediatric oncology environment.

Original languageEnglish (US)
Pages (from-to)218-222
Number of pages5
JournalJournal of oncology practice
Volume7
Issue number4
DOIs
StatePublished - Jul 1 2011
Externally publishedYes

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)
  • Health Policy

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