The Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 was established to promote electronic medical record (EMR) adoption and electronic health information exchange. Furthermore, incentives and penalties were fixed to invoke health organizations to install EMR programs and achieve meaningful use standards set forth by the Center for Medicare and Medicaid Services (CMS). Overall, the HITECH Act and Meaningful use standards were created to improve quality of care, patient safety, and public health. In order to verify the outcome we will investigate the effects of computerized physician order entry (CPOE), computerized decision support systems (CDDSs), use of statistical reports, and health information
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The use of CPOE has increased extensively since the enactment of the HITECH Act of 2009. A few goals of the CPOE use were “Reducing the potential for human error, reducing time to care delivery, improving order accuracy, making crucial information more readily available, improving communication among physicians, nurses, pharmacists, other clinicians and patients” (Steele & Debrow, 2008). An abundant amount of studies have been conducted to review the positive or negative outcomes of computerized physician order entry. In the article Efficiency Gains with Computerized Provide Order Entry, the turnaround times (TATs) were measured and analyzed for laboratory, radiology and pharmacy. During the study CPOE was implemented in the medical intensive care units (MICU) and the surgical intensive care units (SICU) after extensive training. The outcome of the study was “turnaround times for orders placed to all three ancillary departments decreased significantly when the pre- …show more content…
Many providers have expressed “alert fatigue”, which causes providers to bypass important alerts due to the quantity of alerts displayed. Additionally, in a 2015 study “the content of the decision support was also perceived as a barrier among the PCPs: they sometimes doubted the currentness and therefore the reliability of the content as they believed that it might take some time before revised guidelines is updated in the system (Powder, Sharda, & Burstein, 2015). Yet, other providers find the medication alerts to have decreased negative patient outcomes and adverse medication reactions. In the article Prescribers ' Responses to Alerts during Medication Ordering in the Long Term Care Setting, a study of the seven care units in a long term care facility was performed to identify if CDSS decreased medication errors. Three of the long term care units installed the CDSS and the other four long term care units remained without the use of support of CDSS. The study results indicated “overall, prescribers who received alerts were significantly more likely to take an appropriate action” (Judge, Field, DeFlorio, Laprino, Auger, Rochon, & Gurwitz, 2006). On the other hand, the results of the study waivered dependent on the alert displayed. For instance, Judge et al. stated “alerts related to orders for warfarin and those
The use of CPOE has increased extensively since the enactment of the HITECH Act of 2009. A few goals of the CPOE use were “Reducing the potential for human error, reducing time to care delivery, improving order accuracy, making crucial information more readily available, improving communication among physicians, nurses, pharmacists, other clinicians and patients” (Steele & Debrow, 2008). An abundant amount of studies have been conducted to review the positive or negative outcomes of computerized physician order entry. In the article Efficiency Gains with Computerized Provide Order Entry, the turnaround times (TATs) were measured and analyzed for laboratory, radiology and pharmacy. During the study CPOE was implemented in the medical intensive care units (MICU) and the surgical intensive care units (SICU) after extensive training. The outcome of the study was “turnaround times for orders placed to all three ancillary departments decreased significantly when the pre- …show more content…
Many providers have expressed “alert fatigue”, which causes providers to bypass important alerts due to the quantity of alerts displayed. Additionally, in a 2015 study “the content of the decision support was also perceived as a barrier among the PCPs: they sometimes doubted the currentness and therefore the reliability of the content as they believed that it might take some time before revised guidelines is updated in the system (Powder, Sharda, & Burstein, 2015). Yet, other providers find the medication alerts to have decreased negative patient outcomes and adverse medication reactions. In the article Prescribers ' Responses to Alerts during Medication Ordering in the Long Term Care Setting, a study of the seven care units in a long term care facility was performed to identify if CDSS decreased medication errors. Three of the long term care units installed the CDSS and the other four long term care units remained without the use of support of CDSS. The study results indicated “overall, prescribers who received alerts were significantly more likely to take an appropriate action” (Judge, Field, DeFlorio, Laprino, Auger, Rochon, & Gurwitz, 2006). On the other hand, the results of the study waivered dependent on the alert displayed. For instance, Judge et al. stated “alerts related to orders for warfarin and those