Provider Order Entry

Prescriber Order-Entry Module Common dosage order database of standardized inpatient and outpatient medication orders, ready for integration into providers order-entry or prescription-writing systems helps prevent prescribing errors. 

COMPUTERIZED PHYSICIAN/PROVIDER ORDER ENTRY (CPOE)... 

Computerized physician provider order entry (CPOE) is defined as the computer system that allows direct entry of medical orders by the physician or person with appropriate licensure and privileges to do so. Directly entering orders into a computer has the benefit of reducing errors by minimizing the errors caused by handwritten orders, but even a greater benefit is realized when the combination of CPOE and clinical decision-support tools is implemented together. 

Karow HS. 2002. Creating a culture of medication administration safety Laying the foundation for computerized provider order entry. Joint Comm J Qual Improv2 396. 

Ash J, Sittig D, Dykstra R, Campbell E, Guappone K. The unintended consequences of computerized provider order entry findings from a mixed methods exploration. Int J Med Inform. 2009 78 Suppl 1 869-76. 

Del Beccaro M, Jeffries H, Eisenberg M, Harry E. Computerized provider order entry implementation no association with increased mortality rates in an intensive care unit. Pediatrics. 2006 118(l) 290-5. 

Given the high-profile nature of the initial case, we could not wait for technological solutions like a computerized provider order entry (CPOE) system. 

Initiation/planning phase On-line provider order entry with decision support (Phase I)... 

ECRI. Computerized Provider Order-Entry Systems. Healthcare Risk Control, 2002, RA/PM 6-(suppl.A), 1-21. 

These electronic devices provide instant access to patient information. Caregivers can electronically assess, monitor, and chart patient care electronically. Some hospitals use coordinated systems that address patient care, medication verification, and computerized provider order entry. 

In order to determine the effect of air on fluorescence loss, free films of polymer 1 (15 ym thick) were placed in a quartz cuvette, which was evacuated prior to excitation in the fluorescence spectrophotometer. Although the initial loss constant was not determined accurately, both constants (entry 4) were substantially smaller in vacuo relative to air. Fluorescence loss from correspondingly thick films in air is provided in entry 5. 

CPOE.org is a Web site that presents the results of research by the Physician Order Entry Team (POET) at Oregon Health Science University. The team is funded by a grant from the National Library of Medicine to study success factors for implementing CPOE. This Web site also provides access to a collection of resources and links regarding CPOE (www. ohsu.edu/academic/dmice/research/cpoe/index.php). 

Responsible for safe distribution and drug administration for patient care, supervising technicians, order entry, drug monitoring, and providing drug information to nurses and physicians. 

Prescriber Order Entry Module (POEM ) provides a database of the most common medication orders. These orders are specific to drug, route of administration, formulation, age, indication/use, and weight or body surface area, if applicable. This enables more accurate and efficient point-of-care computerized order entry applications to prevent errors at the prescribing stage of drug delivery. 

Order entry is the generic description for a focused application set that provides generalized requisition facilities to a number of backend functions (laboratory, pharmacy, diagnostic imaging, purchasing, etc.). 

CAS does not plan to use NAPLPS, because it is not as versatile as other device driver interfaces. NAPLPS is not conducive to manipulation of complex images, such as chemical structures. However, it is feasible to use it as a display format, much as STN International uses PLOT-10 today. Wider acceptance of videotext in other on-line applications (e.g. catalog display and order entry) is needed so that more people will have NAPLPS terminals and decoders. For graphics applications which serve a large customer base, it is important to provide support for the terminals that customers have. STN International customers are unlikely to have NAPLPS terminals, so it is not currently considered a graphics representation which needs to be supported. 

The weigh and dispense system and the Warehouse Management System are linked to the MRP 11 inventory management module to order to provide updates on inventory status. This is in turn linked to the purchasing module to ensure that new raw material stock is ordered on time and to the customer order entry module to advise availability for delivery. 

The following could be a fragment from an order entry system safety case. It briefly sets out the problem, a series of controls and some evidence that the controls were implemented correctly. The text is by no means complete and more detail would provide significantly more confidence but as an early iteration it presents some basic argument and evidence. 

The structural information contained in the ARRs, i.e. the information on which ARR depends on which component parameters can be obtained directly by inspection of causal paths in a diagnostic bond graph [1]. There is no need to derive equations and to eliminate unknowns in order to set up a mode-dependent FSM. To that end, causal paths from model inputs to inputs of sensor elements are considered. Elements that are traversed on these causal paths contribute to the ARR of a residual related to a sensor element. An output of a source or an element that is followed directly or indirectly by switches on the causal path to a sensor element provides an entry in the FSM equal to the product of the switch states. 

At the end-customer interface, the drumbeat also provided coordination, although the customer never knew anything had changed. The lead-time concept was eliminated. Order entry simply filled in the available capacity with orders. When a week s schedule was filled, they simply began promising delivery for the following week. When customers called, they were asked when they wanted delivery. If the week still had capacity, the order was taken, without any discussion of lead-times. If the week was full, they were given the next available date. The result was a very simple order entry system that featured immediate response to the customer and was tied to available capacity. 

The steady drumbeat of fresh ideas has improved safe prescribing practices in the most common error groups, from a combined average of 73.7 percent to 84.3 percent since the initiative began. In the next year, computerized order entry will effectively put speed bumps, in the form of alerts, decision support, and forcing functions, in front of busy providers to require them to clarify their orders when misunderstandings could arise. 

CPOE Computerized Provider (Physician, Practitioner) Order Entry... 

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