How is a huddle different from a team meeting? Huddles are brief, daily discussions that focus on the action plan of the day, rather than solving underlying process problems or broader workflow issues.
Computer Physician Order Entry Systems Definitions CPOE is commonly used as an abbreviation for the term computer-based physician order entry - even though it can involve health professionals who aren't physicians. Alternative terms include computer-based provider order entry and computerized prescription order entry prescribing was the main focus of early systems - more recent systems offer a wider range of services.
CPOE systems are "clinical systems that utilize data from the pharmacy, laboratory, radiology and patient monitoring systems to relay the physician's or nurse practitioner's diagnostic and therapeutic plans and alert the provider to any allergy or ontraindication that the patient may have so that the order may be immediately revised at the point of entry prior to being forwarded electronically for the targeted medical action.
The system then transmits the order to the appropriate department, or individuals, so it can be carried out. The most advanced implementations of such systems also provide real-time clinical decision support such as dosage and alternative medication suggestions, duplicate therapy warnings, and drug-drug and drug-allergy interaction checking.
Order Entry has four dimensions [ Electronic Health Records] Introduction The publication of the US Institute of Medicine IoM report 'To Err is Human' in highlighted an unexpectedly high error rate in medical care in the USA, and brought to the fore the issue of patient safety and the need to eliminate medical error from hospitals.
Since the appearance of this report, patient safety has become a primary concern in many national healthcare systems. Much effort has been put into devising ways to improve systems in many countries: Information technologies viewed to have the greatest potential to help improve safety standards in healthcare provision include electronic healthcare records and in the USA and Canada in particular, but also in Europe and Australasia CPOE systems supporting minimally automated medication and lab.
But CPOE is widely seen as necessary to reducing medical error and must be the most widely implemented information technology capable of providing decision support in healthcare. Ash et al [ Ash et al, ] estimated that 9.
Many studies of live CPOE systems have been carried out.
Most - but not all - suggest that CPOE has a very positive effect in reducing medical error. CPOE has also been shown to to improve decision-making capabilities, to have a positive effect on training and to reduce the length of stays in hospital.
A recent paper by Kaushal et al [ Kaushal et al et al, ] has gone as far as quantifying the cost effectiveness of using a CPOE system in Brigham and Women's Hospital, Boston, over the period resulting from the clinical benefits of the system.
CPOE functionality and benefits Enables doctors to enter prescription, lab. Supports ready access to patient data and patient assessment Can help improve patient safety and prevent medical errors and adverse drug events by checking the dosage etc.
Can reduce additional and often avoidable costs clinical, litigation Can provide health professionals with immediate electronic access to their orders and comprehensive views of patient clinical data and lab results; CPOE issues An expensive undertaking - initial high capital investment required Kuperman and Gibson, Risk of a system generating medication errors e.
A system may require a great deal of on-site customisation prior to deployment to integrate with workflow processes of an individual hospital Change management issues User resistance to introduction of computer-based technologies May disrupt workflow for and slow down physicians, pharmacists and nurses, particularly if actions to try to ensure ready adoption in practice have not been carried out such as involvement of end users at development and implementation phases, usability testing with end-users, training, support Systems may need medical terminologies not in local use Potential problems related to the structure of health services in individual regions and countries: USA rather than where services are centrally organised by national governments and supported by the taxpayer much of Europe.
Computer physician order entry:A practice team caring for complex patients must communicate and coordinate efforts among its members on a regular basis.
Implementation of brief, in-person, scheduled meetings once or twice a day with relevant team members helps to ensure an efficient clinic day with fewer surprises. "Computer-based Provider Order Entry - CPOE is the portion of a clinical information system that enables a patient’s care provider to enter an order for a medication, clinical laboratory or radiology test, or procedure directly into the computer.
Nostrand Ave Brooklyn, NY t. [email protected] Knowledge management is the systematic management of an organization's knowledge assets for the purpose of creating value and meeting tactical & strategic requirements; it consists of the initiatives, processes, strategies, and systems that sustain and enhance the storage, assessment, sharing, refinement, and creation of knowledge.
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