We describe the strategies used to engage organizational and physician leadership through design, preparation, and support to achieve an inpatient Computerized Physician Order Entry (CPOE) rate over 70% by 1,700 physicians.

Changing physician behaviour has become an important focus of medicine over the past two decades. The rapid expansion of medical knowledge and concerns about quality of care, have led to the birth of both the practice guideline movement 5 and evidence based medicine. 7 More recently, medical informatics and patient participation in care have matured as distinct clinical and research entities. G...

OBJECTIVES To analyze the attitude of physicians towards alerting in CPOE systems in different hospitals in different countries, addressing various organizational and technical settings and the view of physicians not currently using a CPOE. METHODS A cross-sectional quantitative and qualitative questionnaire survey. We invited 2,600 physicians in eleven hospitals from nine countries to partic...

OBJECTIVE To evaluate the impact of computerized provider order entry (CPOE) at the bedside on medical students training. MATERIALS AND METHODS We conducted a randomized cross-controlled educational trial on medical students during two clerkship rotations in three departments, assessing the impact of the use of CPOE on their ability to place adequate monitoring and therapeutic orders using a ...

The implementation of CPOE has transformed the delivery of healthcare. It has also significantly impacted nursing practice by refocusing the role of nurses in direct patient care. These changes have highlighted the vital role that nurses play in communication, coordination and knowledge sharing. CPOE has the potential to maximize productivity and contribute to improved patient safety and improv...

This paper describes a new system of tax credits to help low-income workers pay for health insurance. The system would be designed to subsidize health insurance coverage for workers who are currently uninsured, or who pay high premiums for nongroup insurance. Anyone age 19 or older who is not covered by Medicaid, Medicare, or employer-sponsored health insurance would be eligible for a health in...

JL HE Gentleman, who forms the subject of the following paper, was a public character of distinction, and a Member of the British Legislature. He was accompanied to the Continent by a medical gentleman of great talents, and both the physician and patient were well aware of the nature of the disease they had to combat. It was evidently aneurism, or some great organic derangement of the heart; bu...

Changing physician behaviour has become an important focus of medicine over the past two decades. The rapid expansion of medical knowledge and concerns about quality of care, have led to the birth of both the practice guideline movement 5 and evidence based medicine. 7 More recently, medical informatics and patient participation in care have matured as distinct clinical and research entities. G...

The treatment of calcaneal osteomyelitis in diabetic patients poses a great challenge to the treating physician and surgeon. The use of a distally based sural neurofasciocutaneous flap after an aggressive debridement of non-viable and poorly vascularized tissue and bone that is combined with a thorough antibiotic regimen provides a great technique for adequate soft tissue coverage of the heel. ...

Background & Aims: Low back pain is one of the most common problems and a symptom-related reason for visits to a physician, and one of the important causes of disability. It may also impose great costs on the individual and the health system. Most patients with back pain will recover within 4 to 6 weeks. One of the best paraclinical diagnostic methods is magnetic resonance imaging (MRI), which ...