Revision as of 20:42, 6 September 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. Office Setting
     1. Effect of Computers in the Examination Room
  2. Inpatient Setting
     1. Wall Mounted Computers
     2. Desktop Computers
     3. Mobile Computers
        1. Laptop Computers
        2. Tablet Computers
        3. Handheld Computers
  3. Emergency Department Setting
  4. 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.