Effect of Computerized Physician Order Entry on Radiologic Examination Order Indication Quality

Authors:
  • WFWilliam Franz
    William Franz
  • RSRoseann Spitznagel
    Roseann Spitznagel
  • DBDaphne A. Bascom
    Daphne A. Bascom
  • NONancy A. Obuchowski
    Nancy A. Obuchowski

Abstract
Order information is critical to perform the appropriate examination1 and interpretation.1-3 Of 58 paper radiograph requisitions, 1 study found that 91% lacked appropriate indications, 10% were not in the medical records, 20% were without indications, 34% had inadequate/incomplete information, and 27% contained different information than in the medical records.4 Another study of 150 inpatient paper orders for chest radiographs found that 29% were missing current indications and 31% were missing appropriate indications.5 The large volume of diagnostic radiologic examinations performed annually (approximately 599 million in 2006 for the United States), the potential cost of incomplete and repeated examinations and the potential for decreased quality of care motivated an investigation of the improvements afforded by computerized physician order entry (CPOE).

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