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fc0Computerized prescriber order entry (CPOE) is a rdlaipy growing area in medicine today that impacts physicians, pharmacists, other healthcare workers, and patients. CPOE has become increasingly common in the hospital and community settings. CPOE is entry of medical orders into software that is then sent to the correct personnel. CPOE will impact how pharmacists work in several ways with the most obvious being easier reading of prescriptions. Everyone knows physicianse28099 hand-writing is atrocious. By using computer systems to fill out prescriptions, pharmacists will no longer have to make dangerous decisions as to what the physician is really ordering. Another change the pharmacist will see is reduced abuse potential. Because the physician electronically makes the prescription, it will be much more difficult for patients to change the prescription. For instance, the patient will not be able to change the quantity by just adding a digit or add a whole new medicine order by adding it to the bottom of the prescription. Another way CPOE will impact pharmacists is that it allows physicians to easily add more information to the prescription. Some of the information that can be included is the patiente28099s height, weight, address, allergies, and diagnoses. When a physician hand writes a prescription, this information is almost always unavailable to the pharmacist. Without this information, the pharmacist is unable to use the proper clinical skills to assess whether or not the prescription is appropriate or not. By adding this information, the physiciane28099s liability will also be reduced because in the event of a medication error on the part of the physician, the pharmacist may be able to spot the mistake and prevent a potentially harmful event from occurring. Avoiding these potentially harmful events may help change the pharmacist from an order filler to a member of the healthcare team involved in medication decisions.CPOE will impact patients in that fewer medication errors will occur because the pharmacist will receive a clear copy of what the physician ordered. Every year many patients are adversely affected when they receive the wrong drug or dose due to inability of the prescription to be properly read by the pharmacist. As previously mentioned, patients will also benefit because physicians may put more patient information onto the prescription which will allow pharmacists to better make clinical decisions as to the appropriateness of the medication. CPOE may also help change pharmacists relationships with patients in that patients may see that pharmacists need their health information to make clinical decisions. This process may teach patients that pharmacists are not pill pushers but rather medication managers.One limitation to CPOE is that physicians must purchase the software required to make the prescription whether the final product is a printed prescription or an electronic prescription. Physicians typically do not like to purchase new software; however, recent CMS rules and ARRA will enable prescribers to better afford the technology. Another circumstance that will enable prescribers to want CPOE is the clinical decision support software (CDSS) that frequently is associated with CPOE. CDSS will allow prescribers to make better decisions for each patient. Physicians will see combination CPOE and CDSS products as another way to reduce their risk of choosing inappropriate medications. Another problem is that CPOE may make on more type of error possible. Prescribers may accidentally choose the wrong option from a drop down list or other software features. For example, the prescriber may mean to choose Amoxicillin 500mg but instead choose Amoxicillin 800 mg.Overall, CPOE will continue to increase in usage and will improve patient care. However, vigilance with this technology is required by physicians and pharmacists to ensure proper usage of this technology to get the best outcomes possible.


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Last-modified: Sat, 24 May 2014 10:11:56 JST (2241d)