Despite knowledge that EGDT improves outcomes in septic patients, staff education on EGDT and compliance with the CPOE order set has been variable. Based on results of a resident survey to identify barriers to decrease severe sepsis/septic shock mortality in the medical intensive care unit (MICU), multifaceted interventions such as educational interventions to improve awareness to the importanc...

OBJECTIVE We hypothesized that a daily rounding checklist and a computerized order entry (CPOE) rule that limited the scheduling of complete blood cell counts and chemistry and coagulation panels to a 24-hour interval would reduce laboratory utilization and associated costs. METHODS We performed a retrospective analysis of these initiatives in a pediatric cardiovascular ICU (CVICU) that inclu...

OBJECTIVE To describe the configuration and use of the computerized provider order entry (CPOE) system used for inpatient and outpatient care at the authors' facility. DESIGN Description of order configuration entities, use patterns, and configuration changes in a production CPOE system. MEASUREMENTS The authors extracted and analyzed the content of order configuration entities (order dialo...

OBJECTIVES To assess the impact of a CPOE system on medication-related communication of nurses and physicians. METHODS In six internal medicine wards of an academic medical center, two questionnaires were used to evaluate nurses' attitudes toward the impact of a paper-based medication system and then a CPOE system on their communication in medication-related-activities (medication work). The ...

Mercy Medical Center, North Iowa implemented electronic health records (EHR), computerised provider order entry (CPOE) and event tracking systems in the emergency department (ED) as part of hospital-wide implementation of clinical information systems. This case study examines the changes in outcomes and processes in the ED following implementation. Although the system was designed to enhance ef...

INTRODUCTION For the most part, literature and research around the benefits of computerized physician order entry (CPOE) and electronic medication management (EMM) have focused on the reduction of adverse events and medication errors. While these are major anticipated benefits relating to patient safety, the University Health Network (UHN) discovered that there are other unexpected benefits to ...

BACKGROUND The incorrect use of medications may result from improper prescribing. The poor interface and design of computerised physician order entry (CPOE) systems may contribute. To improve the quality of electronic drug prescription, ePrescribing, there is a need for an evaluation model that is able to assess the quality of the CPOE, focusing on usability. OBJECTIVE To develop and apply a...

OBJECTIVE To identify the distinctive contributions of high-reliability theory (HRT) and normal accident theory (NAT) as frameworks for examining five patient safety practices. DATA SOURCES/STUDY SETTING We reviewed and drew examples from studies of organization theory and health services research. STUDY DESIGN After highlighting key differences between HRT and NAT, we applied the frames to...

BACKGROUND Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of computerized physician order entry (CPOE) and intensive care unit physician st...