2007
DOI: 10.1016/j.ijmedinf.2006.05.017
|View full text |Cite
|
Sign up to set email alerts
|

Categorizing the unintended sociotechnical consequences of computerized provider order entry

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

2
233
0
1

Year Published

2008
2008
2017
2017

Publication Types

Select...
8
1

Relationship

1
8

Authors

Journals

citations
Cited by 247 publications
(236 citation statements)
references
References 9 publications
2
233
0
1
Order By: Relevance
“…HIT implementation)" [17] and are normally considered to be outcomes that are undesirable and are rarely anticipated [13-15, 17, 18]. What is apparent is that the introduction of HIT such as CPOE, rather than resulting in more effective, efficient and safer care, may result in a greater workload burden for clinicians, and different types of threats to patient safety [14,15,18]. As HIT systems are used in practice they have an impact on clinician workflow, communication patterns and the broader health care team, all of which may lead to outcomes that were not anticipated when those systems were introduced.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…HIT implementation)" [17] and are normally considered to be outcomes that are undesirable and are rarely anticipated [13-15, 17, 18]. What is apparent is that the introduction of HIT such as CPOE, rather than resulting in more effective, efficient and safer care, may result in a greater workload burden for clinicians, and different types of threats to patient safety [14,15,18]. As HIT systems are used in practice they have an impact on clinician workflow, communication patterns and the broader health care team, all of which may lead to outcomes that were not anticipated when those systems were introduced.…”
Section: Discussionmentioning
confidence: 99%
“…Existing evidence evaluating the effect of introducing HIT systems such as Computerized Physician Order Entry (CPOE) highlight how unintended consequences can occur once such systems are introduced [13][14][15][16][17][18], and the evidence base supporting the effectiveness of CDSS to improve patient outcomes is equivocal [19]. Similarly, the literature on the effects of using quality measures to improve performance at an organizational level highlights the problems that dashboards can introduce, such as incentivizing certain behaviors or outcomes at the expense of others.…”
Section: Introductionmentioning
confidence: 99%
“…While there have been several excellent articles describing impressive improvements in patient safety, decreases in patient costs due to decreases in redundant laboratory testing, and increased compliance with quality of care guidelines [see 2 for an excellent review of this literature], there have also been several articles describing significant negative, and often unanticipated occurrences that our research group along with others have identified [e.g., 3,4,5,6,8].…”
Section: Introductionmentioning
confidence: 99%
“…Implementation and use of health information technology typically involves significant changes to clinical processes and workflows, which can have unintended positive and negative effects on care quality. [17][18][19]30 While most prior research has been conducted in inpatient settings, it has shown that physicians often find that EMR interfaces create additional work by forcing them to click through many screens and options as well as imposing tasks previously handled by others, especially when placing orders. 31,32 Similar effects in primary care may take away significant visit time and reduce physician's cognitive performance in terms of ability to provide comprehensive care.…”
Section: Discussionmentioning
confidence: 99%