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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

Developing and implementing clinical decision support for use in a computerized prescriber-order-entry system.

Bruce W Chaffee¹, Christopher R Zimmerman

¹Department of Pharmacy Services, College of Pharmacy, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109-5008, USA. bwc@med.umich.edu

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists

|February 23, 2010

Summary

This summary is machine-generated.

Clinical decision support (CDS) integrated with computerized prescriber-order-entry (CPOE) systems enhances patient safety and system adoption. Effective implementation relies on interdisciplinary collaboration and tailored system design features.

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Area of Science:

Health Informatics
Clinical Decision Support Systems
Electronic Health Records

Background:

Computerized prescriber-order-entry (CPOE) systems are crucial for modern healthcare.
Clinical decision support (CDS) is integral to CPOE for improving patient safety and outcomes.
Successful CPOE adoption requires careful planning and implementation of CDS.

Purpose of the Study:

To describe the development and implementation of CDS within a CPOE system.
To outline the strategies used in a large academic health care system for CDS integration.
To highlight the importance of interdisciplinary collaboration in CDS deployment.

Main Methods:

Assembled interdisciplinary project teams for planning, building, and implementing CDS.
Employed fundamental principles: standardization of system configuration, workflow design, and alert prioritization.
Developed passive CDS rules (nomenclature, information links, order sets) and active CDS rules (alerts for allergies, drug interactions, etc.).

Main Results:

Implemented institution-specific, CPOE-integrated CDS.
Focused on usability and safety through standardized configurations and workflow design.
Prioritized interruptive alerts (e.g., allergies, drug interactions) and non-interruptive alerts.

Conclusions:

CDS is a key factor in successful CPOE adoption, patient safety, and positive patient outcomes.
The impact of CDS is dependent on implementation methods, including passive and active system features.
Interdisciplinary collaboration facilitated the planning, design, and implementation of CPOE-integrated CDS for improved clinical efficiency and regulatory compliance.