Ten lessons from implementing a computerized provider order entry system

Objective: To describe lessons learned implementing a computerized provider order entry (CPOE) system at an academic medical center. Methods: Descriptive report. Results: Potential barriers to successful CPOE implementation are identified, and specific approaches to managing and overcoming these barriers are described. The lessons focus on: guiding principles, process efficiency, institutional nuances, nursing buy-in, order sets, user support, protocols, training, transparency, and testing. Conclusion: A successful CPOE implementation is the result of an arduous process of planning and building, followed by an equally challenging roll-out phase. Barriers to successful implementations can be overcome, especially if anticipated or recognized early.