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Moving to electronic healthcare infrastructure could help reduce an epidemic of iatrogenic harm, write George A Gellert, S Luke Webster, and John A Gillean. But hasty implementation has led to suboptimal systems that may jeopardize the clinician-patient relationship, say Edward R Melnick and Hemal K Kanzaria

The seven success factors described are not limited in their value to and impact on CPOE adoption, but generalize to - and can advance success in - varied other clinical information technology implementations across diverse hospitals. A number of these factors are supported by reports in the literature of other institutions' successful implementations of CPOE and other clinical information technologies, and while not prescriptive to other settings, may be adapted to yield value elsewhere.

SSO had a positive impact on clinician efficiency and productivity in the 6 hospitals evaluated, and is an effective and cost-effective method to liberate clinician time from repetitive and time consuming logins to clinical software applications.

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