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Rapid deployment of physician order entry using web-based, disease-specific order sets.
John Windle1, Glen Van-Milligan, Sean Duffy
1University of Nebraska Medical Center, Omaha, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|January 20, 2004
Summary
Computerized physician order entry (POE) can improve healthcare but faces physician resistance. A strategy using an open-source platform and disease-specific order sets aims to increase POE adoption and reduce medical errors.
Area of Science:
- Health Informatics
- Medical Technology
- Clinical Workflow Optimization
Background:
- Computerized physician order entry (POE) presents a significant opportunity to enhance patient safety by reducing medical errors and streamline clinical workflows.
- Despite its potential benefits, widespread adoption of POE systems is often hindered by considerable physician resistance.
- Addressing this resistance is crucial for realizing the full impact of digital health technologies in clinical practice.
Purpose of the Study:
- To present a strategic approach for fostering broader physician acceptance and support for Computerized Physician Order Entry (POE) systems.
- To outline the development of a secure, open-source, browser-based platform designed to facilitate POE implementation.
- To highlight the creation of readily usable, disease-specific order sets as a key component for immediate POE utility.
Main Methods:
- Development of a secure, open-source, browser-based platform architecture to support POE functionalities.
- Curating and structuring a comprehensive library of disease-specific order sets for diverse clinical scenarios.
- Defining the conceptual framework and detailing the implementation requirements for the proposed POE strategy.
Main Results:
- The proposed strategy offers a viable pathway to overcome physician resistance towards POE adoption.
- The open-source platform provides a flexible and accessible foundation for POE integration.
- The availability of pre-built order sets is anticipated to accelerate POE implementation and immediate clinical value.
Conclusions:
- A dual approach combining a robust technological platform with practical, disease-specific content can significantly enhance POE adoption.
- This strategy addresses key barriers to POE implementation, including usability and perceived workflow disruption.
- Successful implementation of this model has the potential to improve patient safety and optimize healthcare delivery through effective POE utilization.