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Computerized Provider Order Entry with Pager Notification Improves Efficiency in STAT Radiographic Studies and

Brian R Jacobs1, Eric Crotty, Ed Conway

  • 1Center for Pediatric Informatics, Children's National Medical Center , Washington DC.

Applied Clinical Informatics
|April 26, 2013
PubMed
Summary
This summary is machine-generated.

Electronic routing of computerized provider order entry (CPOE) STAT orders via pagers significantly improved efficiency for radiographic studies and respiratory treatments, enhancing patient care delivery and clinician satisfaction.

Keywords:
Care ordersComputerized provider order entryEfficiencyRadiologyRespiratory therapy

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Area of Science:

  • Healthcare Informatics
  • Clinical Operations
  • Patient Safety

Background:

  • Computerized provider order entry (CPOE) is linked to improved patient safety.
  • The study investigated the efficiency of STAT orders using electronic routing via pagers.

Purpose of the Study:

  • To evaluate the impact of electronic pager notification of STAT orders on the efficiency of radiographic studies and respiratory treatments.
  • To assess clinician satisfaction with the new notification system.

Main Methods:

  • A two-period study (before and after implementation) comparing traditional communication with electronic pager notification for STAT orders.
  • Tracking of order processing times for radiology and respiratory therapy.
  • Clinician user satisfaction surveys were administered.

Main Results:

  • Pager notification significantly reduced radiology technician arrival time and the time to image availability and radiologist verbal report.
  • Significant reduction in mean time from ordering to administration for STAT respiratory therapy treatments.
  • Clinician satisfaction improved across radiologists, respiratory therapists, and ordering clinicians.

Conclusions:

  • Direct pager notification of CPOE-generated STAT orders significantly accelerates radiographic studies and respiratory treatments.
  • Implementation of pager notification led to improved care delivery and widespread clinician satisfaction.