Document Detail


Computerized physician order entry: lessons learned from the trenches.
MedLine Citation:
PMID:  20630839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Implementation of computer physician order entry (CPOE) demands planning, teamwork, and a steep learning curve. The nurse-driven team at the hospital unit level is pivotal to a successful launch. This article describes the experience of one NICU in planning, building, training, and implementing CPOE. Pitfalls and lessons learned are described. Communication between the nurse team at the unit and the clinical informatics team needs to be ongoing. Self-paced training with realistic practice scenarios and one-on-one "view then practice" modules help ease the transition. Many issues are not apparent until after CPOE has been implemented, and it is vital to have a mechanism to fix problems quickly. We describe the experience of "going live" and the reality of day-to-day order entry.
Authors:
Anne Ramirez; Debra Carlson; Carey Estes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neonatal network : NN     Volume:  29     ISSN:  1539-2880     ISO Abbreviation:  Neonatal Netw     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-07-15     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503921     Medline TA:  Neonatal Netw     Country:  United States    
Other Details:
Languages:  eng     Pagination:  235-41     Citation Subset:  N    
Affiliation:
Mission Children's Hospital, Asheville, NC 28801, USA. anne.ramirez@msj.org
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MeSH Terms
Descriptor/Qualifier:
Health Plan Implementation
Humans
Infant, Newborn
Inservice Training
Intensive Care Units, Neonatal / organization & administration*
Medical Order Entry Systems*
Nursing Staff, Hospital / education,  organization & administration
Organizational Innovation
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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