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Related Concept Videos

Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Hazard Analysis and Critical Control Points (HACCP)01:30

Hazard Analysis and Critical Control Points (HACCP)

Hazard Analysis and Critical Control Points (HACCP) is a science-based, preventive system used globally to ensure food safety by identifying, evaluating, and controlling biological, chemical, and physical hazards throughout food production. Originally developed by NASA and the Pillsbury Company for astronaut food, HACCP is now a core component of the Codex Alimentarius.HACCP operates on prerequisite programs—such as Good Manufacturing Practices (GMPs), sanitation procedures, and supplier...
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Types of Errors: Detection and Minimization01:12

Types of Errors: Detection and Minimization

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Radial System Protection01:23

Radial System Protection

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Line Protection with Impedance Relays

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Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack
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Using implementation safety indicators for CPOE implementation.

Charlene R Weir1, Cynthia A McCarthy

  • 1Geriatric Research and Education and Clinical Center, Department of Veterans Affairs, Salt Lake City Health Care System, Salt Lake City, USA. charlene.weir@utah.edu

Joint Commission Journal on Quality and Patient Safety
|February 14, 2009
PubMed
Summary
This summary is machine-generated.

Implementing computerized provider order entry (CPOE) systems requires early monitoring. Information theory aids in developing indicators to track CPOE implementation and optimize healthcare processes.

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Area of Science:

  • Health Informatics
  • Healthcare Management
  • Information Science

Background:

  • Computerized Provider Order Entry (CPOE) systems offer potential benefits but also risks, with limited literature on implementation strategies.
  • The Veterans Health Administration (VHA) implemented its Computerized Patient Record System (CPRS) nationally between 1997-2002.
  • A 24-month staggered implementation at a tertiary care facility highlighted the need for process monitoring indicators.

Purpose of the Study:

  • To assess the implementation process of the VHA's CPRS using information theory.
  • To identify key process measures for monitoring CPOE implementation.
  • To provide recommendations for effective CPOE system rollout.

Main Methods:

  • Utilized information theory as a framework for developing process assessment indicators.
  • Monitored key performance metrics during the local CPRS implementation.
  • Collected data on order entry, signing, and verification rates.

Main Results:

  • Provider order entry reached 64% and stabilized.
  • Order signing within four hours stabilized at 83%.
  • Nursing verification of orders within two hours stabilized at 42%.

Conclusions:

  • Implementation monitoring processes, including indicator development, should commence at the start of any CPOE rollout.
  • Key recommendations include establishing basic process measures, reporting structures, and early vendor negotiations.
  • Information theory offers an effective framework for developing indicators to monitor CPOE implementation.