+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Using intranet-based order sets to standardize clinical care and prepare for computerized physician order entry



Using intranet-based order sets to standardize clinical care and prepare for computerized physician order entry



Joint Commission Journal on Quality and Safety 30(7): 366-376



The high cost of computerized physician order entry (CPOE) and physician resistance to standardized care have delayed implementation. An intranet-based order set system can provide some of CPOE's benefits and offer opportunities to acculturate physicians toward standardized care. INTRANET CLINICIAN ORDER FORMS (COF): The COF system at the Medical University of South Carolina (MUSC) allows caregivers to enter and print orders through the intranet at points of care and to access decision support resources. Work on COF began in March 2000 with transfer of 25 MUSC paper-based order set forms to an intranet site. Physician groups developed additional order sets, which number more than 200. Web traffic increased progressively during a 24-month period, peaking at more than 6,400 hits per month to COF. Decision support tools improved compliance with Centers for Medicare & Medicaid Services core indicators. Clinicians demonstrated a willingness to develop and use order sets and decision support tools posted on the COF site. COF provides a low-cost method for preparing caregivers and institutions to adopt CPOE and standardization of care. The educational resources, relevant links to external resources, and communication alerts will all link to CPOE, thereby providing a head start in CPOE implementation.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 050918030

Download citation: RISBibTeXText

PMID: 15279501

DOI: 10.1016/s1549-3741(04)30042-0


Related references

Systematic update of computerized physician order entry order sets to improve quality of care: a case study. Pediatrics 131 Suppl 1: S60-S67, 2013

Improving the utilization of admission order sets in a computerized physician order entry system by integrating modular disease specific order subsets into a general medicine admission order set. Journal of the American Medical Informatics Association 18(3): 322-326, 2011

Order sets in computerized physician order entry systems: an analysis of seven sites. AMIA ... Annual Symposium Proceedings. AMIA Symposium 2010: 892-896, 2016

The characteristics of personal order sets in a computerized physician order entry system at a community hospital. AMIA ... Annual Symposium Proceedings. AMIA Symposium 2004: 1031, 2004

The Complexities of Studying Computerized Physician Order Entry: Implications for the Perceived Effectiveness of Stroke Order Sets. Annals of Emergency Medicine 67(4): 560-561, 2016

Default settings of computerized physician order entry system order sets drive ordering habits. Journal of Pathology Informatics 6: 16, 2015

Automated development of order sets and corollary orders by data mining in an ambulatory computerized physician order entry system. AMIA ... Annual Symposium Proceedings. AMIA Symposium 2007: 819-823, 2007

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors. Journal of Medical Internet Research 12(1): E5, 2010

Standardize order sets for improved care. Healthcare system replaces time-consuming review process with a content-management system for developing and maintaining evidence-based order sets. Health Management Technology 31(2): 38-39, 2010

Viewpoint: controversies surrounding use of order sets for clinical decision support in computerized provider order entry. Journal of the American Medical Informatics Association 14(1): 41-47, 2006

Rapid deployment of physician order entry using web-based, disease-specific order sets. AMIA ... Annual Symposium Proceedings. AMIA Symposium 2004: 1079, 2004

Preparation and use of preconstructed orders, order sets, and order menus in a computerized provider order entry system. Journal of the American Medical Informatics Association 10(4): 322-329, 2003

Reduction in Clinical Variance Using Targeted Design Changes in Computerized Provider Order Entry (CPOE) Order Sets: Impact on Hospitalized Children with Acute Asthma Exacerbation. Applied Clinical Informatics 3(1): 52-63, 2012

Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. Medical Care 49(10): 904-910, 2011

Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. Journal of the American Geriatrics Society 53(10): 1780-1789, 2005