The Unintended Consequences of CPOE: Examples from leading healthcare institutions

Dean F. Sittig, Ph.D., Director, Applied Research in Medical Informatics, Kaiser Permanente, Portland, OR.  Computer-based Provider Order Entry (CPOE) with real-time clinical decision support is being touted as one of the key components of a multi-pronged attack on many of the problems facing the modern healthcare system.  While we are strong supporters of these relatively new clinical information and communication technologies, we are also keenly aware that implementation of these applications and the resulting changes in clinical workflow can result in many unintended consequences.  During this session Dean will be describing some of the unintended consequences that we have uncovered during recent site visits to several highly successful institutions with state-of-the-art CPOE installations.