Using computerized provider order entry application to improve compliance with co-signature of verbal orders.

Verbal orders that are not cosigned in a timely manner represent potential quality, safety, and medical-legal concerns. Computerized Provider Order Entry Systems (CPOEs) provide unique opportunities to understand, describe, and improve compliance with guidelines that require the timely co-signature of verbal orders. We describe our baseline compliance and improvements that were achieved through a series of CPOE interventions and related provider feedback and education.