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Computer Physician Order Entry: Benefits, Costs, and Issues

Gilad J. Kuperman, MD, PhD; and Richard F. Gibson, MD, PhD
[+] Article, Author, and Disclosure Information

From Partners HealthCare System and Harvard Medical School, Boston, Massachusetts, and the Providence Health System, Portland, Oregon.

Acknowledgments: The authors thank Joan Ash, PhD, who organized a conference in 2001 to discuss factors that are important in the implementation of CPOE and stimulated the authors to consider the ideas presented in this paper. They also thank Anne Kittler for assistance in preparing the manuscript.

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Gilad J. Kuperman, MD, PhD, Partners HealthCare System, 93 Worcester Street, 2nd Floor, Wellesley, MA 02481; e-mail, gkuperman@partners.org.

Current Author Addresses: Dr. Kuperman: Partners HealthCare System, Inc., 93 Worcester Street, 2nd Floor, Wellesley, MA 02481.

Dr. Gibson: Providence Health System, 11308 SW 68th Parkway, Portland, OR 97223.

Ann Intern Med. 2003;139(1):31-39. doi:10.7326/0003-4819-139-1-200307010-00010
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In 1998, the Institute of Medicine's (IOM's) National Roundtable on Health Care Quality noted that the quality of health care in the United States has substantial problems and that the problems will be addressed only through profound changes to the current health care system (1). The recent IOM report (2), “Crossing the Quality Chasm,” contained an unsettling list of studies documenting the prevalence of poor-quality care in the United States. Another IOM report (3), “To Err Is Human,” focused specifically on the current state of patient safety and ways to improve it. All three of these reports recognized the potential for information technology to be an important agent for change.

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