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Provider order entry with integrated decision support: from academia to industry
1Department of Biomedical Informatics, Vanderbilt University Medical Center, 2209 Garland Ave., Nashville, TN 37232-8340, USA. dario.giuse@vanderbilt.edu
Methods of Information in Medicine
|April 16, 2003
Summary
Developing a provider order entry system with decision support requires significant resources and user feedback. This system evolved from a prototype to a commercial product, improving care and reducing costs.
Area of Science:
- Health Informatics
- Clinical Decision Support Systems
- Electronic Health Records
Background:
- Provider order entry systems are crucial for modern healthcare.
- Integrated decision support enhances clinical practice.
- The evolution of health information technology is ongoing.
Purpose of the Study:
- To trace the development of a provider order entry system with decision support.
- To detail its transition from a research prototype to a commercial product.
- To identify requirements for successful system deployment.
Main Methods:
- Historical analysis of system evolution over eight years.
- Description of the institutional environment and planning.
- Analysis of system architecture, functionality, and user feedback integration.
Main Results:
- The system transformed from a prototype to a widely used tool in an academic medical center.
- Daily order entry volume exceeds 12,000, with 70% physician-entered.
- The system incorporates best-practice guidelines, reducing resource utilization and suggesting cost-effective alternatives.
Conclusions:
- Large-scale health information system deployment necessitates organizational consensus and resources.
- Iterative design with user feedback is vital for complex systems.
- Transitioning a system from single-site success to a commercial product requires resource and need convergence.
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