A major barrier to CPOE adoption is its cost.

• A. Unknown
• B. True
• C. False
• D. Not applicable

Answer: (B)

Cost is a major barrier to adopting CPOE because implementing a computerized order-entry system requires substantial financial resources beyond the sticker price of the software. The upfront investment includes licenses, hardware or cloud infrastructure, and the costs to integrate with existing EHRs, interface with other systems, migrate data, and strengthen cybersecurity. Ongoing expenses encompass maintenance, technical support, regular upgrades, and training for clinicians and IT staff. Add in potential productivity losses during go-live and the need for dedicated IT staffing, and the total cost can be sizable. Since the financial return depends on realizing safety and efficiency benefits that may take years to materialize, organizations with limited budgets or uncertain ROI may hesitate to move forward. Despite the potential to reduce medication errors and improve workflow, the cost considerations frequently dominate the decision, making cost a key obstacle to adoption.