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Development and order set utilization in ambulatory pediatric specialty care
Ari H Pollack1, Matthew A Eisenberg, Mark A Del Beccaro
1Children's Hospital & Regional Medical Center, Seattle, WA, USA.
AMIA ... Annual Symposium Proceedings. AMIA Symposium
|August 13, 2008
Summary
Implementing computerized provider order entry (CPOE) requires well-designed order sets for evidence-based practice. This study adapted inpatient CPOE order set processes for ambulatory pediatric subspecialty clinics.
Area of Science:
- Health Informatics
- Pediatric Medicine
- Clinical Workflow Optimization
Background:
- Computerized Provider Order Entry (CPOE) implementation is critical for healthcare quality.
- Well-designed order sets are essential for promoting evidence-based best practices within CPOE systems.
- Previous experience with inpatient CPOE informed the adaptation to an ambulatory setting.
Purpose of the Study:
- To describe the process of implementing ambulatory CPOE in pediatric subspecialty clinics.
- To adapt and translate an existing inpatient CPOE order set development process to the unique ambulatory setting.
- To ensure order sets promoted evidence-based best practices in ambulatory pediatric care.
Main Methods:
- Leveraged prior experience from inpatient CPOE implementation.
- Developed and deployed order sets tailored for ambulatory pediatric subspecialty clinics.
- Focused on understanding and addressing the specific features of ambulatory subspecialty practice.
Main Results:
- Successful implementation of ambulatory CPOE in multiple pediatric subspecialty clinics.
- Adaptation of the order set development process to the ambulatory environment.
- Order sets designed to reflect evidence-based best practices for pediatric subspecialties.
Conclusions:
- The process for developing inpatient CPOE order sets can be successfully translated to the ambulatory pediatric setting.
- Careful consideration of the unique characteristics of ambulatory subspecialty practice is crucial for effective CPOE implementation.
- Well-designed order sets are fundamental to achieving evidence-based practice goals in ambulatory CPOE.
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