“It seems as if organizations do not learn from and do not want to learn from one another, or from the wisdom of decades of experience of the informatics pioneers, in literature that is widely available to anyone with a computer and just a little sense of due diligence and/or curiosity. As I’ve written at this blog, organizations also seem to resist formal medical informatics expertise.”
Article
MedInformaticsMD, Health Care Renewal, 28 October 2008
Tagged: adoption, cpoe and Health Information Technology
; posted on Tuesday, October 28th, 2008 at 9:18 pm
No Comments »
“The Leapfrog Group warned Tuesday that incorrect deployment of CPOE systems could lead to serious medication errors.
“As CPOE systems are implemented at the clinical level in hospitals, we’re seeing a broad variance in both the degree of adoption and in the quality of outcomes,” Leapfrog CEO Leah Binder said.”
Article
Bernie Monegain, Healthcare IT News, 14 October 2008
Tagged: adoption, cpoe and medication errors
; posted on Tuesday, October 14th, 2008 at 6:59 pm
No Comments »
“Massachusetts Gov. Deval Patrick has signed into law a health care bill that will require hospitals and community health centers to use interoperable electronic health records (EHR) systems if they seek to obtain or renew licenses to operate in 2015 or afterward.”
Article
Nancy Ferris, FCW.com, 11 August 2008
Tagged: cpoe and Health Information Technology
; posted on Tuesday, August 12th, 2008 at 8:19 am
No Comments »
“Two leading members of the medication commission of the German National Chamber of Doctors have urged German hospitals to implement “intelligent” computerised physician order entry (CPOE) with decision support systems to improve patient safety. They also advocated personal electronic medication lists in chronically ill patients.”
Article
e-Health Europe, 18 June 2008
Tagged: cpoe, decision support, medication errors and safety
; posted on Wednesday, June 18th, 2008 at 6:54 pm
No Comments »
“Abstract
The Canadian healthcare landscape abounds with pressures to address wait times, chronic disease management, aging at home, information and service integration, health human resource shortages, pandemic planning and most importantly health outcomes of individuals receiving care in our system. Investment in clinical information technologies is often touted as significant to the successful resolution of most if not all of these issues. For example, Baker and Norton (2001) uncovered an alarming rate of preventable adverse events occurring within Canadian hospitals. A particularly high error rate associated with the administration of fluids and medications suggests that there is a dire need to introduce processes and tools to reduce human error in healthcare facilities. The implementation of clinical applications such as computerized physician order entry (CPOE) with integrated electronic medication administration records (MAR) has been identified as a key step to safer care (Bates and Gawande 2003; Leape et al. 2002; Leatt et al. 2006). It has been suggested that the full value of electronic health records (EHR) will only be realized with the implementation of CPOE and that its use (by physicians) is a reasonable proxy for adoption (Ash and Bates 2005). Considering recent surveys of Canadian and American hospitals, those that have fully implemented CPOE remain in the minority (Ash et al. 2004; Davis 2007; Gudbranson 2007); most have yet to tackle the challenges of the change imperative and adoption issues associated with the use of a complete EHR.”
Abstract
Lynn M. Nagle and Peter Catford, Electronic Healthcare, 7(1) 2008: 84-91
Tagged: cpoe
; posted on Sunday, June 8th, 2008 at 7:42 am
No Comments »
“These days, when a nurse walks into a room at Shenandoah Memorial Hospital, patients instinctively hold out their wrists, or at least that’s what the nurses joke, according to Lisa Stokes, vice president of patient care services at the hospital.
Patients have actually been holding out their wrists since January, when Valley Health rolled out a bedside bar code scanning system as part of $10 million in spending on patient safety initiatives. And for a year now, a computerized provider order entry system has been in place, also part of the spending.”
Article
Jessica Wiant, NV Daily, 3 June 2008
Tagged: barcode, cpoe and hospitals
; posted on Thursday, June 5th, 2008 at 9:07 am
No Comments »
“This is one of the most commonly asked questions in IT World, and my answer has always been “CPOE first” – largely because that has always been David Bates’s (the world’s leading IT/safety researcher) answer. But I’ve changed my mind. Here’s why.”
Article
Bob Wachter, The Health Care Blog, 5 May 2008
Tagged: barcode and cpoe
; posted on Monday, May 5th, 2008 at 3:02 pm
No Comments »
Objectives Quantitative evaluation of safety after the implementation of a computerized provider order entry (CPOE) system, stratification of residual risks to drive future developments.
Design Comparative risk analysis of the drug prescription process before and after the implementation of CPOE system, according to the Failure Modes, Effects and Criticality Analysis (FMECA) method.
Measurements The failure modes were defined and their criticality indexes calculated on the basis of the likelihood of occurrence, potential severity for patients, and detection probability. Criticality indexes of handwritten and electronic prescriptions were compared, the acceptability of residual risks was discussed. Further developments were proposed and their potential impact on the safety was estimated.
Results The sum of criticality indexes of 27 identified failure modes was 3813 for the handwritten prescription, 2930 (-23%) for CPOE system, and 1658 (-57%) with 14 enhancements. The major safety improvements were observed for errors due to ambiguous, incomplete or illegible orders (-245 points), wrong dose determination (-217) and interactions (-196). Implementation of targeted pop-ups to remind treatment adaptation (-189), vital signs (-140), and automatic edition of documents needed for the dispensation (-126) were the most promising proposed improvements.
Conclusion The impact of a CPOE system on patient safety strongly depends on the implemented functions and their ergonomics. The use of risk analysis helps to quantitatively evaluate the relationship between a system and patient safety and to build a strategy for continuous quality improvement, by selecting the most appropriate improvements to the system.
Abstract
Pascal Bonnabry, Christelle Despont-Gros, Damien Grauser, Magali Despond, Deborah Pugin, Claire Rivara-Mangeat, Magali Koch, Martine Vial, Anne Iten, and Christian Lovis, Journal of American Medical Informatics Association, April 24, 2008 as JAMIA PrePrint; doi:10.1197/jamia.M2677
Tagged: cpoe and safety
; posted on Sunday, May 4th, 2008 at 8:55 am
No Comments »
“The Fallon Clinic, the Worcester-based medical practice with more than 250 doctors, spent $25 million and several years converting to electronic records.
But if a patient heads to a doctor or hospital unrelated to the Fallon Clinic, there’s no guarantee her electronic records will make the trip, too.”
Article
Lisa Eckelbecker, Telegram & Gazette, 23 March 2008
Tagged: cpoe, e prescribing, Health Information Technology, interoperability and portability
; posted on Monday, March 24th, 2008 at 9:16 am
No Comments »
“Careful planning can help a health care organization manage CPOE’s unintended consequences.”
Article
Bob Elson, HHNMostWired, 5 March 2008
Tagged: cpoe, hospitals and medication errors
; posted on Tuesday, March 4th, 2008 at 9:55 pm
No Comments »
“The Massachusetts Blues believes that the return on physicians’ investment doesn’t warrant buying the technology as part of its bonus programs.”
Article
Pamela Lewis Dolan, AMednews, 10 March 2008
Tagged: cpoe, emr, Health Information Technology and hospitals
; posted on Monday, March 3rd, 2008 at 8:36 pm
No Comments »
“When hospital CIOs and vendor executives gathered recently to discuss medication safety technology, the importance of culture change and executive sponsorship dominated the conversation. As with other technology implementations, winning over end users and senior leaders should start long before an IT staff member lays a finger on a clinician’s computer.”
Article
Jane Jeffries, HHNMostWired, 13 February 2008
Tagged: barcode, cpoe, medication errors and rfid
; posted on Thursday, February 14th, 2008 at 9:45 am
No Comments »
“The Certification Commission for Healthcare Information Technology announced today that three additional electronic health record products designed for use in acute care hospitals have received CCHIT Inpatient EHR 2007 certification status.
This latest round of certification brings the total number of certified inpatient products to nine, or an estimated 36 percent of inpatient EHR vendors.”
Article
Richard Pizzi, Healthcare IT News, 22 January 2008
Tagged: cpoe
; posted on Tuesday, January 22nd, 2008 at 9:42 pm
No Comments »
“Expect large institutions to make significant IT investments; RHIOs will still struggle with architecture and governance models; EMRs creep closer to reality, and health plans will continue to implement consumer-directed vendor partnerships.”
Article
Cindy Atoji, Digital HealthCare & Productivity, 15 January 2008
Tagged: cpoe, emr, Health Information Technology and PACS
; posted on Wednesday, January 16th, 2008 at 9:14 am
No Comments »
“Soon doctors and other clinicians at the University of Pittsburgh Medical Center’s many hospitals and outpatient offices will be able to access key patient data, such as drug information, in a single view.
On Feb. 3, UPMC will begin to go live with the fruits of a multimillion-dollar interoperability project that’s been more than a year in the making.”
Article
Marianne Kolbasuk McGee, InformationWeek, 3 January 2008
Tagged: access, cpoe, hospitals, interoperability and semantic
; posted on Friday, January 4th, 2008 at 10:19 pm
No Comments »
“Objective To evaluate effects of a natural CPOE implementation in a hospital setting and inform the efficacy of using CPOE rather than traditional paper medication orders.
Conclusion Findings support the use of CPOE and justify the need for interventions to increase CPOE adoption and consistent use among physicians.”
Abstract
Thomas R. Cunningham, E. Scott Geller and Steven W. Clarke, International Journal of Medical Informatics, In Press, Corrected Proof, Available online 28 November 2007, doi:10.1016/j.ijmedinf.2007.10.008
Tagged: cpoe, medication errors and safety
; posted on Friday, November 30th, 2007 at 10:58 am
No Comments »
“More than any other industry, health care studies the impact of information technology on its core processes. Health care magazines and conferences are filled with a steady stream of analyses of the effect of applications such as the electronic health record on ordering medications, managing chronic disease, documenting care and other processes.”
Article
John Glaser, HHN MostWired, 28 November 2007
Tagged: cpoe
; posted on Thursday, November 29th, 2007 at 9:44 am
No Comments »
“The Brooklyn Hospital Center, a 463-bed academic community hospital, plans to implement an integrated clinical information system in both the acute and ambulatory care environments.”
Article
Richard Pizzi, Healthcare IT News, 29 November 2007
Tagged: cpoe and hospitals
; posted on Thursday, November 29th, 2007 at 9:20 am
No Comments »
“The newly formed company will focus on enhancing Kameda Healthinformatics Institute’s clinical informatics system, KAI, which encompasses electronic medical record, computerized physician order entry and nursing documentation functionalities. The system is being used by nearly 30 hospitals in Japan to assist in managing the workflow of patient care delivery at their facilities.”
Article
Medical News Today, 3 October 2007
Tagged: cpoe, emr and information technology
; posted on Wednesday, October 3rd, 2007 at 6:10 pm
No Comments »
“In an in-depth study of hospitals using computerized provider order-entry systems, it was found that most institutions with fully implemented CPOE have not been using it that long but are using it intensely—despite the occurrence of eight common unintended consequences, which researchers said can be managed if healthcare teams anticipate and prepare for them.”
Article
Andis Robeznieks, Modern Healthcare, 31 July 2007
Tagged: cpoe
; posted on Wednesday, August 1st, 2007 at 5:46 pm
No Comments »
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