INTRODUCTION Prescribing medication is an important aspect of almost all in-hospital treatment regimes. Besides their obviously beneficial effects, medicines can also cause adverse drug events (ADE), which increase morbidity, mortality and health care costs. Partially, these ADEs arise from medication errors, e.g. at the prescribing stage. ADEs caused by medication errors are preventable ADEs. ...

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...

Refining Computerized Physician Order Entry Initiatives in an Adult Intensive Care Unit by Chevita Fuller MSN, Walden University, 2010 BSN, Macon State College, 2005 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University September 2014 Abstract Computerized physician order entry (CPOE) is used in healthcare organizations to im...

OBJECTIVE To evaluate the incidence of duplicate medication orders before and after computerized provider order entry (CPOE) with clinical decision support (CDS) implementation and identify contributing factors. DESIGN CPOE with duplicate medication order alerts was implemented in a 400-bed Northeastern US community tertiary care teaching hospital. In a pre-implementation post-implementation ...

Like other countries, the economic stimulus package in Japan is including healthcare delivery support. For the health informatics domain, there are two large subsidies proposed. One is to provide “the last one mile” optic fiber network to all hospitals in Japan. We have about 9000 hospitals nationwide, and some very local hospitals only have a slower network infrastructure. The other is to supp...

BACKGROUND The incidence of non-intercepted prescription errors and the risk factors involved, including the impact of computerised order entry (CPOE) systems on such errors, are unknown. Our objective was to determine the incidence, type, severity, and related risk factors of non-intercepted prescription dose errors. PATIENTS AND METHODS A prospective, comparative cohort study in two clinica...

Computer-based physician order entry (CPOE) is a key feature of electronic health record systems. A fully-featured CPOE system, capable of dealing with drug prescription, but also with all the other aspects of patients care, can be used to implement standardized clinical pathways. This classic design can be improved upon by using a workflow engine to drive and bring together the different tasks...

Information technology (IT) has significant potential to improve the quality of patient care, to lower costs, and to improve efficiency. However, IT leaves an electronic paper trail that may demonstrate negligence and thereby create legal risk. Emerging research suggests that this fear of electronic discovery is delaying IT adoption, thereby perpetuating inefficiencies. Is this fear founded? If...

A major concern related to the healthcare industry is uniformity in delivery. There considerable variation diagnosis and treatment of patients depending on experience expertise doctors. Information technology can play a role addressing this issue. Research investigating use data-driven approaches knowledge-driven clinical pathways achieve delivery ongoing. Specifically, integration data be used...