Computerized Physician Order Entry with Clinical Decision Support in the Long-Term Care Setting: Insights from the Baycrest Centre for Geriatric Care
Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long‐term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system wit...
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2005-10, Vol.53 (10), p.1780-1789 |
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| container_title | Journal of the American Geriatrics Society (JAGS) |
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| creator | Rochon, Paula A. Field, Terry S. Bates, David W. Lee, Monica Gavendo, Linda Erramuspe-Mainard, Janet Judge, James Gurwitz, Jerry H. |
| description | Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long‐term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and “institutional will,” many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. Based on experience adopting this technology early, 10 insights are offered that it is hoped will assist others who are considering the implementation of CPOE systems with CDS in the LTC setting. |
| doi_str_mv | 10.1111/j.1532-5415.2005.53515.x |
| format | Article |
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This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and “institutional will,” many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. 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This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and “institutional will,” many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. 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Field, Terry S. ; Bates, David W. ; Lee, Monica ; Gavendo, Linda ; Erramuspe-Mainard, Janet ; Judge, James ; Gurwitz, Jerry H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4325-ed39efb1c4ee115a138dc13718d1f928484d47342aec098c5bb529f4d354a6453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>adverse drug events</topic><topic>Adverse Drug Reaction Reporting Systems</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>clinical decision support</topic><topic>computerized physician order entry</topic><topic>Decision Support Systems, Clinical - instrumentation</topic><topic>Decision Support Systems, Clinical - organization & administration</topic><topic>Drug Interactions</topic><topic>Drug-Related Side Effects and Adverse Reactions</topic><topic>Female</topic><topic>General aspects</topic><topic>Geriatrics</topic><topic>Homes for the Aged</topic><topic>Humans</topic><topic>Long term health care</topic><topic>long-term care</topic><topic>Long-Term Care - organization & administration</topic><topic>Male</topic><topic>Medical Order Entry Systems - organization & administration</topic><topic>Medical sciences</topic><topic>Medication Errors - prevention & control</topic><topic>Medication Systems - organization & administration</topic><topic>Nursing Homes</topic><topic>older adults</topic><topic>Older people</topic><topic>Physician patient relationships</topic><topic>Software</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rochon, Paula A.</creatorcontrib><creatorcontrib>Field, Terry S.</creatorcontrib><creatorcontrib>Bates, David W.</creatorcontrib><creatorcontrib>Lee, Monica</creatorcontrib><creatorcontrib>Gavendo, Linda</creatorcontrib><creatorcontrib>Erramuspe-Mainard, Janet</creatorcontrib><creatorcontrib>Judge, James</creatorcontrib><creatorcontrib>Gurwitz, Jerry H.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rochon, Paula A.</au><au>Field, Terry S.</au><au>Bates, David W.</au><au>Lee, Monica</au><au>Gavendo, Linda</au><au>Erramuspe-Mainard, Janet</au><au>Judge, James</au><au>Gurwitz, Jerry H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computerized Physician Order Entry with Clinical Decision Support in the Long-Term Care Setting: Insights from the Baycrest Centre for Geriatric Care</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2005-10</date><risdate>2005</risdate><volume>53</volume><issue>10</issue><spage>1780</spage><epage>1789</epage><pages>1780-1789</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long‐term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and “institutional will,” many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. Based on experience adopting this technology early, 10 insights are offered that it is hoped will assist others who are considering the implementation of CPOE systems with CDS in the LTC setting.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Inc</pub><pmid>16181180</pmid><doi>10.1111/j.1532-5415.2005.53515.x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Journal of the American Geriatrics Society (JAGS), 2005-10, Vol.53 (10), p.1780-1789 |
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| subjects | adverse drug events Adverse Drug Reaction Reporting Systems Aged Aged, 80 and over Biological and medical sciences clinical decision support computerized physician order entry Decision Support Systems, Clinical - instrumentation Decision Support Systems, Clinical - organization & administration Drug Interactions Drug-Related Side Effects and Adverse Reactions Female General aspects Geriatrics Homes for the Aged Humans Long term health care long-term care Long-Term Care - organization & administration Male Medical Order Entry Systems - organization & administration Medical sciences Medication Errors - prevention & control Medication Systems - organization & administration Nursing Homes older adults Older people Physician patient relationships Software |
| title | Computerized Physician Order Entry with Clinical Decision Support in the Long-Term Care Setting: Insights from the Baycrest Centre for Geriatric Care |
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