64: Feasibility of Integrating Clinical Decision Support Into an Existing Computerized Physician Order Entry System to Increase Seasonal Influenza Vaccination In the Emergency Department

2010 ◽  
Vol 56 (3) ◽  
pp. S22
Author(s):  
A. Venkat ◽  
N.H. Chan-Tompkins ◽  
G.G. Hegde ◽  
D.M. Chuirazzi ◽  
R. Hunter ◽  
...  
Keyword(s):  
Emergency Department ◽  
Decision Support ◽  
Influenza Vaccination ◽  
Clinical Decision Support ◽  
Seasonal Influenza ◽  
Clinical Decision ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Seasonal Influenza Vaccination ◽  
Physician Order Entry

scholarly journals Effect of Computerized Physician Order Entry and Clinical Decision Support System on Adverse Drug Events Prevention in the Emergency Department: A Systematic Review

2020 ◽  
pp. 875512252095816
Author(s):  
Sadrieh Hajesmaeel Gohari ◽  
Kambiz Bahaadinbeigy ◽  
Shahrad Tajoddini ◽  
Sharareh R. Niakan Kalhori
Keyword(s):  
Emergency Department ◽  
Decision Support ◽  
Decision Support System ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Physician Order Entry

Objective: An adverse drug event (ADE) is an injury resulting from a medical intervention related to a drug. The emergency department (ED) is a ward vulnerable to more ADEs because of overcrowding. Information technologies such as computerized physician order entry (CPOE) and clinical decision support system (CDSS) may decrease the occurrence of ADEs. This study aims to review research that reported the evaluation of the effectiveness of CPOE and CDSS on lowering the occurrence of ADEs in the ED. Data Sources: PubMed, EMBASE, and Web of Science databases were used to find studies published from 2003 to 2018. The search was conducted in November 2018. Study Selection and Data Extraction: The search resulted in 1700 retrieved articles. After applying inclusion and exclusion criteria, 11 articles were included. Data on the date, country, type of system, medication process stages, study design, participants, sample size, and outcomes were extracted. Data Synthesis: Results showed that CPOE and CDSS may prevent ADEs in the ED through significantly decreasing the rate of errors, ADEs, excessive dose, and inappropriate prescribing (in 54.5% of articles); furthermore, CPOE and CDSS may significantly increase the rate of appropriate prescribing and dosing in compliance with established guidelines (45.5% of articles). Conclusion: This study revealed that the use of CPOE and CDSS can lower the occurrence of ADEs in the ED; however, further randomized controlled trials are needed to address the effect of a CDSS, with basic or advanced features, on the occurrence of ADEs in the ED.

scholarly journals A systematic analysis of the optimization of computerized physician order entry and clinical decision support systems: A qualitative study in English hospitals

2019 ◽  
Vol 26 (2) ◽  
pp. 1118-1132 ◽  
Author(s):  
Valeri Wiegel ◽  
Abby King ◽  
Hajar Mozaffar ◽  
Kathrin Cresswell ◽  
Robin Williams ◽  
...  
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Clinical Decision Support Systems ◽  
Extended Period ◽  
Clinical Decision ◽  
System Optimization ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Systematic Analysis ◽  
Physician Order Entry

This article analyzes the range of system optimization activities taking place over an extended period following the implementation of computerized physician order entry and clinical decision support systems. We undertook 207 qualitative semi-structured interviews, 24 rounds of non-participant observations of meetings and system use, and collected 17 organizational documents in five hospitals over three time periods between 2011 and 2016. We developed a systematic analysis of system optimization activities with eight sub-categories grouped into three main categories. This delineates the range of system optimization activities including resolving misalignments between technology and clinical practices, enhancing the adopted system, and improving user capabilities to utilize/further optimize systems. This study highlights the optimization efforts by user organizations adopting multi-user, organization-spanning information technologies. Hospitals must continue to attend to change management for an extended period (up to 5 years post-implementation) and develop a strategy for long-term system optimization including sustained user engagement, training, and broader capability development to ensure smoother and quicker realization of benefits.

Verhindern von unerwünschten Arzneimittelereignissen mit Hilfe von elektronischen Entscheidungsunterstützungssystemen

2015 ◽  
Vol 72 (11/12) ◽  
pp. 693-700
Author(s):  
Ali Reza Salili ◽  
Felix Hammann ◽  
Anne B. Taegtmeyer
Keyword(s):  
Decision Support ◽  
Clinical Decision Support ◽  
Support System ◽  
Clinical Decision Support System ◽  
Clinical Decision ◽  
Computerized Physician Order Entry ◽  
Order Entry ◽  
Computerized Provider Order Entry ◽  
Unerwünschte Arzneimittelereignisse ◽  
Physician Order Entry

Zusammenfassung. Unerwünschte Arzneimittelereignisse sind ein grosses Risiko für Patienten und ein alltägliches klinisches Problem mit potentiellen Haftungsfolgen. CPOE-Systeme („Computerized Physician Order Entry“ bzw. „Computerized Provider Order Entry“-Systeme) in Kombination mit elektronischen Systemen zur klinischen Entscheidungsunterstützung („Clinical Decision Support System“ = „CDSS“) sind im Trend und zielen nicht nur auf die Reduktion von Verordnungsfehlern, sondern ermöglichen eine rasche Reaktion auf potentiell vermeidbare Arzneimittelinteraktionen. Der effektive Nutzen solcher Systeme ist aber bis dato noch nicht definitiv geklärt. Dieser Artikel fokussiert auf den aktuellen Stand der Entwicklung von CPOE-/CDS-Systemen, deren Nutzen und Risiken, Zukunftsperspektiven und Verbesserungsmöglichkeiten.

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