Return on investment for a computerized physician order entry system

Return on investment for a computerized physician order entry system
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DOI:
10.1197/jamia.m1984
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发表时间:
2006-05-01
影响因子:
6.4
通讯作者:
Bates, David W.
Bates, David W.
中科院分区:
管理学2区
文献类型:
--
作者:
Kaushal, Rainu;Jha, Ashish K.;Bates, David W.

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目的:虽然计算机化医嘱输入(CPOE)可以减少错误并提高质量,但医院采用的速度很慢。CPOE系统成本高,财务效益数据有限,是采用的主要障碍。作者评估的成本和经济效益的CPOE系统在布里格姆和妇女医院在ten years.Design:成本和效益估计的医院CPOE系统在布里格姆和妇女医院(BWH),一个720成人病床,三级保健,学术hospitalinBoston.Measurements:机构专家提供的数据有关的CPOE系统的成本。从BWH CPOE系统的已发表研究、与医院专家的访谈和相关内部文件中确定了受益。确定了机构的净总体节省额和业务预算节省额。所有数据均以2002年美元的价值数字表示。结论:其他医院可以通过投资CPOE系统来节省资金并提高患者安全性。
Objective: Although computerized physician order entry (CPOE) may decrease errors and improve quality, hospital adoption has been slow. The high costs and limited data on financial benefits of CPOE systems are a major barrier to adoption. The authors assessed the costs and financial benefits of the CPOE system at Brigham and Women's Hospital over ten years.Design: Cost and benefit estimates of a hospital CPOE system at Brigham and Women's Hospital (BWH), a 720-adult bed, tertiary care, academic hospital in Boston.Measurements: Institutional experts provided data about the costs of the CPOE system. Benefits were determined from published studies of the BWH CPOE system, interviews with hospital experts, and relevant internal documents. Net overall savings to the institution and operating budget savings were determined. All data are presented as value figures represented in 2002 dollars.Conclusion: Other hospitals may be able to save money and improve patient safety by investing in CPOE systems.