Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests
The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of i...
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Gespeichert in:
| Autor*in: |
Claret, Pierre-Géraud [verfasserIn] |
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| Format: |
Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2016 |
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| Rechteinformationen: |
Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. |
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| Systematik: |
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| Übergeordnetes Werk: |
Enthalten in: Computer methods and programs in biomedicine - Amsterdam : Elsevier, 1985, 129(2016), Seite 82-88 |
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| Übergeordnetes Werk: |
volume:129 ; year:2016 ; pages:82-88 |
| Links: |
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| DOI / URN: |
10.1016/j.cmpb.2016.03.006 |
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OLC1977403468 |
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| 520 | |a The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. | ||
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| 700 | 1 | |a Bobbia, Xavier |4 oth | |
| 700 | 1 | |a Macri, Francesco |4 oth | |
| 700 | 1 | |a Stowell, Andrew |4 oth | |
| 700 | 1 | |a Motté, Antony |4 oth | |
| 700 | 1 | |a Landais, Paul |4 oth | |
| 700 | 1 | |a Beregi, Jean-Paul |4 oth | |
| 700 | 1 | |a de La Coussaye, Jean-Emmanuel |4 oth | |
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10.1016/j.cmpb.2016.03.006 doi PQ20160719 (DE-627)OLC1977403468 (DE-599)GBVOLC1977403468 (PRQ)c1723-4c0569753e332c5ecfcea0f0c35a03c164da9afd9c877b3c953f05ac2152cb780 (KEY)0039276620160000129000000082impactofacomputerizedproviderradiographyorderentry DE-627 ger DE-627 rakwb eng 610 004 DNB XA 37224 AVZ rvk 44.00 bkl Claret, Pierre-Géraud verfasserin aut Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Bobbia, Xavier oth Macri, Francesco oth Stowell, Andrew oth Motté, Antony oth Landais, Paul oth Beregi, Jean-Paul oth de La Coussaye, Jean-Emmanuel oth Enthalten in Computer methods and programs in biomedicine Amsterdam : Elsevier, 1985 129(2016), Seite 82-88 (DE-627)130424471 (DE-600)632564-6 (DE-576)015925269 0169-2607 nnns volume:129 year:2016 pages:82-88 http://dx.doi.org/10.1016/j.cmpb.2016.03.006 Volltext http://www.sciencedirect.com/science/article/pii/S0169260715301309 http://www.ncbi.nlm.nih.gov/pubmed/27084323 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_70 XA 37224 44.00 AVZ AR 129 2016 82-88 |
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10.1016/j.cmpb.2016.03.006 doi PQ20160719 (DE-627)OLC1977403468 (DE-599)GBVOLC1977403468 (PRQ)c1723-4c0569753e332c5ecfcea0f0c35a03c164da9afd9c877b3c953f05ac2152cb780 (KEY)0039276620160000129000000082impactofacomputerizedproviderradiographyorderentry DE-627 ger DE-627 rakwb eng 610 004 DNB XA 37224 AVZ rvk 44.00 bkl Claret, Pierre-Géraud verfasserin aut Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Bobbia, Xavier oth Macri, Francesco oth Stowell, Andrew oth Motté, Antony oth Landais, Paul oth Beregi, Jean-Paul oth de La Coussaye, Jean-Emmanuel oth Enthalten in Computer methods and programs in biomedicine Amsterdam : Elsevier, 1985 129(2016), Seite 82-88 (DE-627)130424471 (DE-600)632564-6 (DE-576)015925269 0169-2607 nnns volume:129 year:2016 pages:82-88 http://dx.doi.org/10.1016/j.cmpb.2016.03.006 Volltext http://www.sciencedirect.com/science/article/pii/S0169260715301309 http://www.ncbi.nlm.nih.gov/pubmed/27084323 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_70 XA 37224 44.00 AVZ AR 129 2016 82-88 |
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10.1016/j.cmpb.2016.03.006 doi PQ20160719 (DE-627)OLC1977403468 (DE-599)GBVOLC1977403468 (PRQ)c1723-4c0569753e332c5ecfcea0f0c35a03c164da9afd9c877b3c953f05ac2152cb780 (KEY)0039276620160000129000000082impactofacomputerizedproviderradiographyorderentry DE-627 ger DE-627 rakwb eng 610 004 DNB XA 37224 AVZ rvk 44.00 bkl Claret, Pierre-Géraud verfasserin aut Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Bobbia, Xavier oth Macri, Francesco oth Stowell, Andrew oth Motté, Antony oth Landais, Paul oth Beregi, Jean-Paul oth de La Coussaye, Jean-Emmanuel oth Enthalten in Computer methods and programs in biomedicine Amsterdam : Elsevier, 1985 129(2016), Seite 82-88 (DE-627)130424471 (DE-600)632564-6 (DE-576)015925269 0169-2607 nnns volume:129 year:2016 pages:82-88 http://dx.doi.org/10.1016/j.cmpb.2016.03.006 Volltext http://www.sciencedirect.com/science/article/pii/S0169260715301309 http://www.ncbi.nlm.nih.gov/pubmed/27084323 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_70 XA 37224 44.00 AVZ AR 129 2016 82-88 |
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10.1016/j.cmpb.2016.03.006 doi PQ20160719 (DE-627)OLC1977403468 (DE-599)GBVOLC1977403468 (PRQ)c1723-4c0569753e332c5ecfcea0f0c35a03c164da9afd9c877b3c953f05ac2152cb780 (KEY)0039276620160000129000000082impactofacomputerizedproviderradiographyorderentry DE-627 ger DE-627 rakwb eng 610 004 DNB XA 37224 AVZ rvk 44.00 bkl Claret, Pierre-Géraud verfasserin aut Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Bobbia, Xavier oth Macri, Francesco oth Stowell, Andrew oth Motté, Antony oth Landais, Paul oth Beregi, Jean-Paul oth de La Coussaye, Jean-Emmanuel oth Enthalten in Computer methods and programs in biomedicine Amsterdam : Elsevier, 1985 129(2016), Seite 82-88 (DE-627)130424471 (DE-600)632564-6 (DE-576)015925269 0169-2607 nnns volume:129 year:2016 pages:82-88 http://dx.doi.org/10.1016/j.cmpb.2016.03.006 Volltext http://www.sciencedirect.com/science/article/pii/S0169260715301309 http://www.ncbi.nlm.nih.gov/pubmed/27084323 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_70 XA 37224 44.00 AVZ AR 129 2016 82-88 |
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10.1016/j.cmpb.2016.03.006 doi PQ20160719 (DE-627)OLC1977403468 (DE-599)GBVOLC1977403468 (PRQ)c1723-4c0569753e332c5ecfcea0f0c35a03c164da9afd9c877b3c953f05ac2152cb780 (KEY)0039276620160000129000000082impactofacomputerizedproviderradiographyorderentry DE-627 ger DE-627 rakwb eng 610 004 DNB XA 37224 AVZ rvk 44.00 bkl Claret, Pierre-Géraud verfasserin aut Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests 2016 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. Nutzungsrecht: © Elsevier Ireland Ltd Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. Bobbia, Xavier oth Macri, Francesco oth Stowell, Andrew oth Motté, Antony oth Landais, Paul oth Beregi, Jean-Paul oth de La Coussaye, Jean-Emmanuel oth Enthalten in Computer methods and programs in biomedicine Amsterdam : Elsevier, 1985 129(2016), Seite 82-88 (DE-627)130424471 (DE-600)632564-6 (DE-576)015925269 0169-2607 nnns volume:129 year:2016 pages:82-88 http://dx.doi.org/10.1016/j.cmpb.2016.03.006 Volltext http://www.sciencedirect.com/science/article/pii/S0169260715301309 http://www.ncbi.nlm.nih.gov/pubmed/27084323 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-MAT SSG-OLC-PHA SSG-OLC-DE-84 GBV_ILN_70 XA 37224 44.00 AVZ AR 129 2016 82-88 |
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Claret, Pierre-Géraud @@aut@@ Bobbia, Xavier @@oth@@ Macri, Francesco @@oth@@ Stowell, Andrew @@oth@@ Motté, Antony @@oth@@ Landais, Paul @@oth@@ Beregi, Jean-Paul @@oth@@ de La Coussaye, Jean-Emmanuel @@oth@@ |
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impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests |
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Impact of a computerized provider radiography order entry system without clinical decision support on emergency department medical imaging requests |
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The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. |
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The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. |
| abstract_unstemmed |
The adoption of computerized physician order entry is an important cornerstone of using health information technology (HIT) in health care. The transition from paper to computer forms presents a change in physicians' practices. The main objective of this study was to investigate the impact of implementing a computer-based order entry (CPOE) system without clinical decision support on the number of radiographs ordered for patients admitted in the emergency department. This single-center pre-/post-intervention study was conducted in January, 2013 (before CPOE period) and January, 2014 (after CPOE period) at the emergency department at Nîmes University Hospital. All patients admitted in the emergency department who had undergone medical imaging were included in the study. Emergency department admissions have increased since the implementation of CPOE (5388 in the period before CPOE implementation vs. 5808 patients after CPOE implementation, p=.008). In the period before CPOE implementation, 2345 patients (44%) had undergone medical imaging; in the period after CPOE implementation, 2306 patients (40%) had undergone medical imaging (p=.008). In the period before CPOE, 2916 medical imaging procedures were ordered; in the period after CPOE, 2876 medical imaging procedures were ordered (p=.006). In the period before CPOE, 1885 radiographs were ordered; in the period after CPOE, 1776 radiographs were ordered (p<.001). The time between emergency department admission and medical imaging did not vary between the two periods. Our results show a decrease in the number of radiograph requests after a CPOE system without clinical decision support was implemented in our emergency department. |
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