Farrugia Ian, Vella Bonanno Patricia
University of Malta, Msida, Malta.
J Pharm Technol. 2024 Dec;40(6):277-286. doi: 10.1177/87551225241284919. Epub 2024 Oct 8.
This review evaluated the impact of a digitized computerized prescriber order entry (CPOE) system and described barriers and facilitators for introducing a digitized system.
A systematic literature search was conducted in PubMed, Medline, and CINAHL using keywords. Articles in English during the last 10 years were included.
Study selection was presented using a PRISMA flow diagram. Forty-eight studies were included. Data from the articles were presented to address each of the three objectives.
CPOE systems improved the quality of care provided but also introduced new types of errors. Facilitating factors for implementation included leadership, stakeholder engagement, training, and user-centered design. Inadequate training, software design, changes in workload, and workflow disruptions were identified as barriers. Recommendations for implementation included dedicated training of users, user-centered design, a backup for system downtimes, and stakeholder engagement.
Application of knowledge of the facilitators and barriers for the introduction of a CPOE system supports this change-management process within the specific context and augurs for more successful implementation.
本综述评估了数字化计算机医嘱录入（CPOE）系统的影响，并描述了引入数字化系统的障碍和促进因素。
使用关键词在PubMed、Medline和CINAHL中进行了系统的文献检索。纳入了过去10年的英文文章。
使用PRISMA流程图展示研究选择过程。共纳入48项研究。提取文章中的数据以实现三个目标中的每一个。
CPOE系统提高了所提供护理的质量，但也引入了新类型的错误。实施的促进因素包括领导力、利益相关者参与、培训和以用户为中心的设计。培训不足、软件设计、工作量变化和工作流程中断被确定为障碍。实施建议包括对用户进行专门培训、以用户为中心的设计、系统停机时的备份以及利益相关者参与。
了解CPOE系统引入的促进因素和障碍的知识应用，有助于在特定背景下支持这一变革管理过程，并预示着更成功的实施。
