Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.

Journal Article (Journal Article)

Few U.S. hospitals have implemented computerized physician order entry (CPOE) in spite of its effectiveness at preventing serious medication errors. We interviewed senior management at twenty-six hospitals to identify ways to overcome barriers to adopting and implementing CPOE. Within the hospital, strong leadership and high-quality technology were critical. Hospitals that placed a high priority on patient safety could more easily justify the cost of CPOE. Outside the hospital, financial incentives and public pressures encouraged CPOE adoption. Dissemination of data standards would accelerate the maturation of vendors and lower CPOE costs. These findings highlight several policy levers to speed the adoption of this important patient safety technology.

Full Text

Duke Authors

Cited Authors

  • Poon, EG; Blumenthal, D; Jaggi, T; Honour, MM; Bates, DW; Kaushal, R

Published Date

  • July 1, 2004

Published In

Volume / Issue

  • 23 / 4

Start / End Page

  • 184 - 190

PubMed ID

  • 15318579

Electronic International Standard Serial Number (EISSN)

  • 1544-5208

International Standard Serial Number (ISSN)

  • 0278-2715

Digital Object Identifier (DOI)

  • 10.1377/hlthaff.23.4.184


  • eng