CPOE

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Computerized physician order entry (CPOE) is a technology that allows physicians to enter orders, medications, or procedures directly into the computer instead of handwriting them. [1] The system transmits the order to the appropriate department or individual so the order can be carried out. [2]

Contents

Computerized physician order entry

CPOE History

History

Project Governance

Project Governance

Readiness Assessment

Readiness Assessment

Setting up the Project Team

Setting up the Project Team

System Selection

System Selection

Creating the Request for Proposals

Creating the Request for Proposals

Making Site Visits

Making Site Visits

System Configuration

System Configuration

Co-signing rules

Co-signing rules

Time-out settings

Time-out settings

Password Strength

- length, frequency of change, etc. Password Strength

Dealing with Patient Transfers

Pre-Admission Order Policies

Creating Order Sets

Using Controlled Medical Terminologies

RxNorm

LOINC

Logical Observation Identifiers Names and Codes

Unified Medical Language System - UMLS

Systematized Nomenclature of Medicine - Clinical Terms - SNOMED-CT

Common Mistakes

Common Mistakes

CPOE Regulatory Problems|Regulatory Problems

Regulatory Problems

AMDIS Response to the Federal Tamper-Resistant Rx Law

AMDIS Response to the Federal Tamper-Resistant Rx Law

Success Factors

CPOE and Meaningful Use

Implementation Strategies

Big Bang vs. Incremental Roll-out

==Computer Scribes...for physicians?

==Whether, when, and how to remove paper from the process?

Physical Computing Environment

Office Setting

Effect of Computers in the Examination Room

Inpatient Setting

Wall Mounted Computers

Desktop Computers

Mobile Computers

Laptop Computers

Tablet Computers

Handheld Computers

Infection Control Concerns

Emergency Department Setting

Mobile Computers

Monitoring and Evaluation

Routine Methods

Study Designs

Leapfrog CPOE Standard

Consensus recommendations on Measurements

Unintended Consequences

Unintended Consequences

Increased Resource Utilization

Increased Resource Utilization

Emotional Reactions

Emotional Reactions

Increased Reliance on Technology

Increased Reliance on Technology

Prescribers’ Responses to Alerts During Medication Ordering in the Long Term Care Setting

Prescribers’ Responses to Alerts During Medication Ordering in the Long Term Care Setting