Implementing a CPOE system at a hospital

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has title::CPOE implementation: The effects on medication administration time and workflow
status: finished
Master: project within::Information Sciences
Student name: student name::Robin Riet
number: student number::1748157
Start start date:=2009/04/01
End end date:=2009/11/25
Supervisor: Rahul Premraj
Second reader: has second reader::Hans van Vliet
Company: has company::Zaans Medisch Centrum
Poster: has poster::Media:Media:Posternaam.pdf

Signature supervisor



After the much referenced report “To Err Is Human: Building a Safer Health System” (Kohn et al., 2000) was published by the Institute of Medicine much attention has been paid to improve the safety of the healthcare. The report found that up to 98,000 Americans die every year from preventable medical errors made in hospitals. The report focuses on the American healthcare system, but the results may be more widely generizable. The report suggests that steps should be taken to reduce the number of medical errors.

A technical solution to reduce medical errors is believed to be the best solution. A Computerized Physician Order Entry (CPOE) system is the most mentioned system to reduce the number of medical errors through a technical solution. However most of the time the impact of the CPOE system on the employees and their work routines is under estimated or not even considered.

This thesis focuses on the implementation of a CPOE system in a Dutch hospital and the impact on the work routines of the physicians, pharmacists and nurses. However before the impact of a CPOE system is discussed it is important to create a clear picture about the main features of such a system. Much features of the CPOE system may create problems in the work routines of different employees. Besides the impact of a CPOE system on the work routines of the different employees this thesis also measures the impact on the time a nurse needs to spend on medication administration. Since only a few reports mention the impact on the time nurses spend on medication administration, it is not clear if there is a significant effect.

Kohn, Linda T.; Corrigan, Janet M. & Donaldson, Molla S. (editors), “To Err Is Human: Building a Safer Health System”, 2000 Executive summary: