Background: There are numerous barriers to successfully implementing computerized provider order entry (CPOE), and it is not entirely clear to what degree the proposed benefits extend to older, commercially available systems in place at most hospitals.
Methods: In 2000, Loyola University Health System leadership chartered a project to implement CPOE for hospitalized patients' medications. The impact of CPOE on workflow was analyzed before implementation. Hardware availability was ensured and input screens were customized for users when possible. A formal education and communication plan was implemented to help reduce resistance to change.
Results: Full implementation took 20 months. Transcription-related errors per month decreased by 97% from 72.4 to 2.2 per month. During the pilot period, prescribing-related errors increased by 22% from 150 per month to 184 per month-and subsequently decreased to an average of 80 per month, a 47% reduction compared with the baseline error rate. Pharmacist time saved was estimated at 23 hours per month.
Discussion: Using an existing CPOE system can provide an affordable, intermediate step on the journey toward implementing a new, state-of-the-art system that provides advanced clinical decision support.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/s1553-7250(06)32066-1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Utilizing Image Processing Techniques for Wound Management and Evaluation in Clinical Practice: Establishing the Feasibility of Implementing Artificial Intelligence in Routine Wound Care.
Adv Skin Wound Care
January 2025
Mai Dabas is Master's Degree Student, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel. Suzanne Kapp, PhD, RN, is Clinical Associate Professor, School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, Department of Nursing, The University of Melbourne, Melbourne, Australia; and National Manager Wound Prevention and Management, Regis Aged Care, Camberwell, Victoria, Australia. Amit Gefen, PhD, is Professor of Biomedical Engineering and the Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel; Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium; and Department of Mathematics and Statistics and the Data Science Institute, Faculty of Sciences, Hasselt University, Hasselt, Belgium. Acknowledgments: This work was supported by a competitive grant from the Victorian Medical Research Acceleration Fund, with funding co-contribution from the Department of Nursing at the University of Melbourne, the Melbourne Academic Centre for Health, and Mölnlycke Health Care. This work was also partially supported by the Israeli Ministry of Science & Technology (Medical Devices Program grant no. 3-17421, awarded to Professor Amit Gefen in 2020). The authors thank Ms Carla Bondini for her assistance with data collection and management for this study and Mr Daniel Kapp for proofreading the manuscript. The authors have disclosed no other financial relationships related to this article. Submitted February 1, 2024; accepted in revised form April 16, 2024.
Objective: To develop a generalizable and accurate method for automatically analyzing wound images captured in clinical practice and extracting key wound characteristics such as surface area measurement.
Methods: The authors used image processing techniques to create a robust algorithm for segmenting pressure injuries from digital images captured by nurses during clinical practice. The algorithm also measured the real-world wound surface area.
Pneumococcal and Herpes Zoster Vaccination Rates Among U.S. Veterans With Chronic Inflammatory Disease on Biologic Medications: A Quality Improvement Project.
Mil Med
January 2025
Department of Rheumatology, VA Medical Center Memphis, TN 38104, USA.
Introduction: Patients with chronic inflammatory diseases are often treated with pharmacologic therapies that target the immune system and have an increased risk of infection. These risks can be reduced by vaccination against common pathogens. This quality improvement project aimed to increase pneumococcal and herpes zoster vaccination rates in patients with chronic inflammatory disease on biologic immunosuppressive therapy.
View Article and Find Full Text PDFThe relationship between self-monitoring and cognitive strategy use in midlife and older adults.
J Clin Exp Neuropsychol
January 2025
Department of Psychology, Washington State University, Pullman, WA, USA.
Introduction: Self-monitoring abilities, both in the moment (online) and general self-knowledge (offline) of one's errors, are crucial to implementing modification to tasks to support healthy, independent aging. Cognitive strategies (CS) aid in functional, physical, and cognitive abilities, but without recognition of their need, individuals may struggle to complete daily tasks. The current study examined whether higher levels of self-monitoring would predict higher use and quality of real-world cognitive strategies in older adults.
View Article and Find Full Text PDFUtility of 3D facial reconstruction for forensic identification: a focus on facial soft tissue thickness and customized techniques.
Forensic Sci Med Pathol
January 2025
Department of Anatomy, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand.
Facial reconstruction, a crucial method in forensic identification, finds particular significance in cases where conventional means of identification are unavailable. This study addresses a significant gap in the field of forensic facial reconstruction focusing on facial soft tissue thickness (FSTT) and facial reconstruction techniques specifically tailored to the Thai population. By developing and implementing the 3D (three-dimensional) facial reconstruction program and compiling an extensive dataset of FSTT, this research makes substantial progress in advancing forensic facial reconstruction methodologies employing the combination Manchester Method, 3D skull images obtained through cone beam computed tomography (CBCT) scans were reconstructed using Autodesk Maya software.
View Article and Find Full Text PDFReadiness potentials changed by decision-making in the chicken game.
Soc Neurosci
January 2025
School of Health Science and Engineering, University of Shanghai for Science and Technology, Shanghai, China.
The chicken game, a well-established social dilemma paradigm, is widely used to study cooperative and competitive behaviors. Strategic decision-making in this game is influenced by the outcomes of cooperative and competitive interactions, with feedback-related event-related potentials (ERPs) during the feedback phase being a primary research focus. However, it remains unclear whether specific ERP components associated with strategic decision-making are present during the response phase.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!