Title page for ETD etd-04242006-160854

Type of Document

Master's Thesis

Author

Cunningham, Thomas R.

Author's Email Address

tcunning@vt.edu

URN

etd-04242006-160854

Title

A Behavioral Evaluation of the Transition to Electronic Prescribing in a Hospital Setting

Degree

Master of Science

Department

Psychology

Advisory Committee

Advisor Name	Title
Geller, E. Scott	Committee Chair
Finney, Jack W.	Committee Member
Jones, Russell T.	Committee Member

Keywords

medication error
CPOE
behavioral interventions in hospitals
medical error
patient safety

Date of Defense

2006-04-18

Availability

unrestricted

Abstract

The impact of Computerized Physician Order Entry (CPOE) on the dependent variables of medication-order compliance and time to first dose of antibiotic was investigated in this quasi-experimental study of a naturally-occurring CPOE intervention. The impact of CPOE on compliance and time to first dose was assessed by comparing measures of these variables from the intervention site and a non-equivalent control before and during intervention phases. Medication orders placed using CPOE were significantly more compliant than paper-based medication orders (p<.001), and first doses of antibiotic ordered using CPOE were delivered significantly faster than antibiotic orders placed using the paper-based system (p<.001). Findings support previous research indicating the positive impact of CPOE on patient safety as well as justify and enable future interventions to increase CPOE adoption and use among physicians. Additionally, data collected in this study will be used to provide behavior-based feedback to physicians as part of CPOE adoption and use intervention strategies to be explored in the forthcoming research.

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