Publications by authors named "John Gillean"

Article Synopsis
  • Monthly reports tracking CPOE usage by physicians can encourage adoption by highlighting their contributions to patient safety and quality improvement, especially among those affected by performance-based financial incentives.
  • Misattributions of order sources can undermine physician confidence and motivation to use CPOE effectively, which could have implications for patient safety and legal matters.
  • In a study of one hospitalist group, 4.18% of orders were incorrectly attributed, primarily from nursing (42%) and pharmacy (38%), indicating the need for improved order management protocols to maintain accurate CPOE reporting.
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Background: CHRISTUS Health began implementation of computer workstation single sign-on (SSO) in 2015. SSO technology utilizes a badge reader placed at each workstation where clinicians swipe or "tap" their identification badges.

Objective: To assess the impact of SSO implementation in reducing clinician time logging in to various clinical software programs, and in financial savings from migrating to a thin client that enabled replacement of traditional hard drive computer workstations.

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In a study by CHRISTUS Health, data from 18 acute care facilities revealed that numerous indicators of clinical quality were significantly correlated with measures of business success. Results suggest that timely and appropriate interventions, coupled with timely and complete documentation, are correlated with improved business performance. The correlations between quality and financial performance make intuitive sense based on the observation that diligence in clinical processes can produce better information to support financial processes.

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