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Computerized Provider Order Entry Awareness for Nursing: Unintended Consequences and Remediation Plan

Many healthcare facilities are in the process of implementing, or planning to implement, computerized provider order entry (CPOE). In this article, we share our experience of planning for and implementing CPOE. One of our goals was to avoid unintended consequences for nurses that at best require expensive changes after implementation orworst can create unsafe situations. We are a team of nursing informaticists at a 450-bed, not-for-profit, acute-care hospitalwith an emergency department/level I trauma center seeing more than 300 patients per day and an average daily inpatient census of approximately 280. In our initial planning, we conducted a literature review to determinewhat knowledge regarding unintended consequences for nurses had already been published. We found that there was a lack of information specific to the effects