ASHP Policy Position 0105
COMPUTERIZED PROVIDER ORDER ENTRY
To advocate the use of computerized entry of medication orders or prescriptions by the prescriber when (1) it is planned, implemented, and managed with pharmacists' involvement, (2) such orders are part of a single, shared database that is fully integrated with the pharmacy information system and other key information system components, especially the patient's medication administration record, (3) such computerized order entry improves the safety, efficiency, and accuracy of the medication-use process, and (4) it includes provisions for the pharmacist to review and verify the order's appropriateness before medication administration, except in those instances when review would cause a medically unacceptable delay.
This policy was reviewed in 2025 by the Council on Pharmacy Management and was found to still be appropriate.
This policy position supersedes ASHP policy position 9806.
Rationale
Computerized provider order entry (CPOE) is the process of digitally entering and sending providers’ medical orders and treatment instructions rather than delivery by paper, fax, or telephone. CPOE has become the standard of care within hospitals and health-systems for orders including medications, labs, and medical imaging. The use of CPOE has reduced medication errors, improved safety, accelerated order processing, and enhanced access to documentation. CPOE system design, implementation, and integration with other medical technologies must be considered to fully realize its benefits.