Revision as of 23:40, 31 August 2005

The Clinical Informatics Wiki -- Clinfowiki

The Clinical Informatics Wiki

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Computer-based Provider Order Entry -- CPOE

• History
• Project Governance
• Readiness Assessment
• Setting up the Project Team
• System Selection
  1. Creating the Request for Proposals
  2. Making Site Visits
• System Configuration
  1. Co-signing rules
  2. Time-out settings
  3. Password Strength - length, frequency of change, etc.
  4. Using Controlled Medical Terminologies
     1. RxNorm
     2. LOINC - Logical Observation Identifiers Names and Codes
• Implementation Strategies
  1. Big Bang vs. Incremental Roll-out
• Physical Computing Environment
  1. Exam Room Set-up
  2. Mobile Computers
• Monitoring and Evaluation
  1. Study Designs
• Unintended Consequences
  1. Increased Resource Utilization
  2. Emotional Reactions

Clinical Decision Support -- CDS

• Overview
  1. General system features associated with improvements in clinical practice
• Modes of Interaction
  1. Interpretation
  2. Consultation
  3. Monitoring
  4. Critiquing
  5. Teaching
• Order Sets
• Information Resources
• Alerts and Reminders
  1. Drug-drug Interactions
  2. Drug-Allergy Interactions

External Links

Website of the Provider Order Entry Team from Oregon Health & Science University

Improving Outcomes with Clinical Decision Suppport: An Implementer's Guide, Health Information Management and Systems Society, 2005.