MEMO

To:
Cc:
From:
Subject:
Date:

Kristen Mccreight, Nursing Managers

All department managers
Nurses Supporting CPOE
Progress report regarding Proposal for initiating CPOE in our hospital
March 8, 2015

Purpose: This progress report is to indicate how far the proposal tasks have been carried
out to argue the benefits of CPOE (computer provider order entry) over traditional paper
orders in the healthcare arena. More hospitals are conforming to this form of ordering
system due to safety and cost effective reasons (HealthIT.gov, 2015). The research that
has been completed to date will be mentioned in brief below. The proposal was
authorized on April 2, 2015.

Introduction- This proposal will approach the topic of why CPOE is a necessary change
to nursing and physician processes, how it affects nursing care, and how others who
have experienced CPOE feel about it. Following are some problems that are
encountered as well as solutions to these issues.

Problem- Traditional orders are often prone to multiple human errors: that of the writer,
the reader, and the deliverer. Failure of traditional orders can be related to a human
tendency to rush, being stressed, or exhausted (Medication Error Prevention, 2015).
Many hospitals are converting to a mixed system of paper and computer orders, which
complicates the situation, making it more difficult to find and carry out orders. Immediate
nurse managers have to be involved in more conflict resolutions between doctors and
nurses due to doctors not using the same continuum of documentation for orders.
(Transitioning, 2015).

Solution- Medicare and other insurance companies are now able to monitor care given by
the provider, which is an improvement in relation to past failings at doing so (Medicares
Failure, 2013). For our fellow nurses, CPOE implementation would reduce awkward and
tense situations with the doctors when they asked why orders were not seen in a timely
manner, or completely missed. Failures of manual provider entry may be overcome by
revamping our healthcare systems to become entirely paperless, but we will start by
looking at why this would be beneficial. Then we will take a look at how CPOE may be a
great solution for improving healthcare and preventing errors (CPOE, 2015).

Completed Work:
Task 1: Journal articles, web based sources such as online journals, scholarly based
books, online data bases, as well as previously documented reports of CPOE in the
workplace have already been accessed documenting how CPOE works and how it will
affect future patient care (HealthIT.gov, 2015). (Transitioning, 2015).
Task 2: Researching managers attitudes will include the use of online data bases and
blogs to understand how managers attitudes relate to CPOE. A questionnaire may be
formulated to interview nurse managers on their thoughts and experiences regarding
CPOE. Some articles and data bases have already been accessed regarding this
information (Transitioning, 2015).
Task 3: Other nurses attitudes regarding CPOE will be researched through journal
articles, online data bases and government websites. This will include both the positive
and negative experiences of nurses in using CPOE. Some online articles have been
accessed (Transitioning, 2015).
Task 4: Researching the environment will include the use of online data bases and
government websites. Some websites have already been accessed to understand the
environment leading to the use of CPOE in the workplace (HealthIT.gov, 2015).
(Medication Error Prevention, 2015).
Task 5: Formulating the report will include the completion of the above tasks to include
in the report. Below is an approximate schedule of when these task are going to be
carried out. The report has been being built as research is being completed.

Future Work:

Tasks to complete:
Task 2- Researching managers attitudes has included looking into databases and online
resources to know how they think and feel about CPOE. A few articles have been accessed,
but the information needs to be put into research form in our own words (Transitioning,
2015).
Task 3- Similar to the research for nursing managers above, a few online articles have been
accessed, however the information needs to be put into a brief version to explain nurses
views (Transitioning, 2015).
Task 5- The report is being prepared as we are completing our research, and is continuing to
be built on as we go. So far an intro including the problems and solutions for why CPOE are
necessary as well as what CPOE is and how it is needed in the environment has been covered
moderately (CPOE, 2015).

Updated Schedule:

Schedule:
Tasks
Task 1: Research CPOE

Dates of Tasks

Task 2: Research managers

attitudes
Task 3: Research other
nurses attitudes
Task 4: Research
environment
Task 5: Prepare Report
Key:
-completed
-processing

3/233/28

3/283/30

3/304/1

4/14/3

4/34/5

4/54/7

4/74/9

4/94/11

4/114/13

- Research report
finalization

Include the schedule you used in the proposal with designations for completed tasks
and additions for new tasks

Conclusion: To date the project is still in bare bones structure. A couple of bumps have
been hit along the road in research and information sources. Our team will be working
to catch up and make up the difference for where we have gotten behind.

Works Cited
Computerized Provider Order Entry. Computerized Provider Order Entry. N.p., n.d. Web.31.
Mar. 2015. http://healthit.ahrq.gov/key-topics/computerized-provider-order-entry.
"HealthIT.gov." Ready to Meet CPOE Meaningful Use Requirements? N.p., 11 Mar. 2015. Web.
31 Mar. 2015. <http://www.healthit.gov/providers-professionals/achieve-meaningfuluse/core-measures/cpoe-meaningful-use>.
"International Journal for Quality in Health Care." Using an Enhanced Oral Chemotherapy

Computerized Provider Order Entry System to Reduce Prescribing Errors and Improve
Safety. N.p., 17 Nov. 2010. Web. 09 Apr. 2015.
<http://intqhc.oxfordjournals.org/content/23/1/36.short>.
"Medicares Failure to Track Doctors Wastes Billions on Name-Brand Drugs." Top Stories RSS.
N.p., 18 Nov. 2013. Web. 31 Mar. 2015. <http://www.propublica.org/article/medicarewastes-billions-on-name-brand-drugs>.
"Medication Error Prevention for Healthcare Providers." Medscape, n.d. Web. 24 Mar. 2015.
<http://www.medscape.org/viewarticle/550273>.
N. "Nurses Views: Transitioning from a Best-of-Breed Clinical Information System to a OneVendor Electronic Health Record with Computerized Provider Order Entry." Journal of
Health Information Management 27 (2013): n. pag. 2013. Web. 09 Apr. 2015.
<http://lhco.ucsd.edu/wp-content/uploads/2014/09/Chow_Alice_fields-et-all-published2-013-Spring-2013.pdf>.