Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals Article Report uri icon


MeSH Major

  • Emergency Service, Hospital
  • Health Services Research
  • Medical Errors
  • Research Design
  • Safety Management


  • Few U.S. hospitals have implemented computerized physician order entry (CPOE) in spite of its effectiveness at preventing serious medication errors. We interviewed senior management at twenty-six hospitals to identify ways to overcome barriers to adopting and implementing CPOE. Within the hospital, strong leadership and high-quality technology were critical. Hospitals that placed a high priority on patient safety could more easily justify the cost of CPOE. Outside the hospital, financial incentives and public pressures encouraged CPOE adoption. Dissemination of data standards would accelerate the maturation of vendors and lower CPOE costs. These findings highlight several policy levers to speed the adoption of this important patient safety technology.

publication date

  • July 2004



  • Report


Digital Object Identifier (DOI)

  • 10.1377/hlthaff.23.4.184

PubMed ID

  • 15318579

Additional Document Info

start page

  • 184

end page

  • 90


  • 23


  • 4