Research Correlates CPOE With Reduced Deaths - InformationWeek

InformationWeek is part of the Informa Tech Division of Informa PLC

This site is operated by a business or businesses owned by Informa PLC and all copyright resides with them.Informa PLC's registered office is 5 Howick Place, London SW1P 1WG. Registered in England and Wales. Number 8860726.

Healthcare // Clinical Information Systems

Research Correlates CPOE With Reduced Deaths

Computerized physician order entry systems have been lauded for improving efficiencies; now they've been linked to better patient outcomes.

A study has found a correlation between the implementation of a computerized physician order entry system and improved patient outcomes, resulting in 36 fewer deaths over an 18-month period.

The study was conducted by researchers at the Lucile Packard Children's Hospital and Stanford University School of Medicine, and is seen as an exciting breakthrough since no published study to date has found an association with CPOE implementation and significant reductions in hospital mortality rates. That said, researchers were quick to note that the findings show a correlation, and not a cause and effect.

According to lead author Dr. Christopher Longhurst, medical director of clinical informatics at Packard Children's and assistant clinical professor of pediatrics at Stanford, the implementation of CPOE occurred simultaneously with other hospital improvements including process and workflow changes, adjustments in ICU staffing, the rollout of rapid response teams, and the implementation of a nursing residency.

"It is impossible to tell in a retrospective study how much of this effect can be attributed to the process and workflow changes introduced with CPOE," Longhurst said. "However, it is notable that looking over our last eight years of mortality data, the only two statistically significant inflection points are the rollout of rapid response teams and the introduction of CPOE," Longhurst added.

To determine if a change in mortality rates occurred, researchers reviewed nearly 100,000 discharges from Packard Children's from Jan. 1, 2001, through April 30, 2009. They compared the observed mortality with the expected mortality, which was generated from a database of 42 tertiary care, not-for-profit pediatric hospitals similar to Packard Children's.

According to the report, "After CPOE implementation, the mean monthly adjusted mortality rate decreased by 20%. With observed versus expected mortality-rate estimates, these data suggest that our CPOE implementation could have resulted in 36 fewer deaths over the 18-month post-implementation time frame."

Prior to this report, research on CPOEs, which allow doctors to electronically prescribe orders, have largely focused on the efficiencies and cost savings that the system can bring to a hospital setting. Many observers note that technology, in and of itself, won’t make a positive impact on patient outcomes if these tools are not aligned with best practices in a hospital setting.

"The key to achieving 'meaningful use' with EMRs is well-planned and well-executed projects which redesign processes and workflows in ways that leverage the technology," Longhurst said. "My advice to physicians and hospital administrators is to be involved and engaged early in the process to ensure that these systems are designed to meet the outcomes you need," Longhurst added.

We welcome your comments on this topic on our social media channels, or [contact us directly] with questions about the site.
Comment  | 
Print  | 
More Insights
InformationWeek Is Getting an Upgrade!

Find out more about our plans to improve the look, functionality, and performance of the InformationWeek site in the coming months.

10 Things Your Artificial Intelligence Initiative Needs to Succeed
Lisa Morgan, Freelance Writer,  4/20/2021
Tech Spending Climbs as Digital Business Initiatives Grow
Jessica Davis, Senior Editor, Enterprise Apps,  4/22/2021
Optimizing the CIO and CFO Relationship
Mary E. Shacklett, Technology commentator and President of Transworld Data,  4/13/2021
White Papers
Register for InformationWeek Newsletters
Current Issue
Planning Your Digital Transformation Roadmap
Download this report to learn about the latest technologies and best practices or ensuring a successful transition from outdated business transformation tactics.
Flash Poll