+ 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

Order sets in computerized physician order entry systems: an analysis of seven sites



Order sets in computerized physician order entry systems: an analysis of seven sites



AMIA ... Annual Symposium Proceedings. AMIA Symposium 2010: 892-896



Most computerized physician order entry (CPOE) systems have built-in support for order sets (collections of orders grouped by a clinical purpose). Evidence and experience suggest that order sets are important tools for ordering efficiency and decision support and may influence ordering. Developing and maintaining order sets is costly, so hospitals often must prioritize which order sets can be created. We analyzed order set utilization at seven diverse sites with CPOE. The number of order sets per site ranged from 81 to 535, and the number of order set uses per discharge ranged from 0.48 to 9.89. We also compared the top ten order sets at each site, and found many commonalities, such as generic and condition-specific admission order sets, surgical sets and clinical pathways. We also found that, at each site, utilization of order sets was skewed, with a small number of order sets comprising the bulk of utilization. These findings may be useful for order sets developers, particularly in settings where resources are constrained and the most important order sets must be developed first.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 054786605

Download citation: RISBibTeXText

PMID: 21347107


Related references

Use of order sets in inpatient computerized provider order entry systems: a comparative analysis of usage patterns at seven sites. International Journal of Medical Informatics 81(11): 733-745, 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

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

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, 2004

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

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

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

Cost analysis before and after implementation of a computerized physician order entry order form for enoxaparin. P and T 37(2): 107-111, 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

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

The evolution of the market for commercial computerized physician order entry and computerized decision support systems for prescribing. Journal of the American Medical Informatics Association 23(2): 349-355, 2016

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