Early adopters of computerized physician order entry in hospitals that care for children: a picture of US health care shortly after the Institute of Medicine reports on quality

Clin Pediatr (Phila). 2009 May;48(4):389-96. doi: 10.1177/0009922809331801. Epub 2009 Feb 17.

Abstract

Objective: To determine national estimates of computerized physician order entry (CPOE) use for 2003 in hospitals that care for children.

Design: Retrospective cohort analysis.

Results: Six percent of the hospitals used CPOE (119 out of 2145). Children's hospitals are more likely to use CPOE than a children's unit (odds ratio [OR] = 6; 95% confidence interval [CI] = 1.5-23.9). Private for-profit hospitals are more likely to use CPOE than public hospitals (OR = 26.5; 95% CI = 3.1-224.8). Urban teaching hospitals are more likely to use CPOE than rural hospitals (OR = 3.9; 95% CI = 1.7-8.8). Hospitals in the Northeast, Midwest, and South are more likely to use CPOE than hospitals in the West (OR = 11.2, 95% CI = 4.8-26.5; OR = 4.2, 95% CI = 1.7-10.5; OR = 3.1, 95% CI = 1.5-6.3, respectively).

Conclusions: In 2003, 6% of the hospitals that care for children reported using CPOE. Early adoption of CPOE was associated with children's hospitals, private hospitals, urban-teaching hospitals, and hospitals outside of the western region.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Cohort Studies
  • Diffusion of Innovation
  • Hospitals, Pediatric / statistics & numerical data*
  • Hospitals, Private / statistics & numerical data*
  • Hospitals, Teaching / statistics & numerical data*
  • Humans
  • Medical Order Entry Systems / statistics & numerical data*
  • Medication Systems, Hospital / statistics & numerical data*
  • Quality of Health Care / standards
  • Quality of Health Care / statistics & numerical data
  • Retrospective Studies
  • Time Factors
  • United States