The Importance Of Order Sets

CPOE has been promoted very heavily for patient safety purposes to avoid medication errors, but it also can be helpful in identifying duplicate orders for services, providing cost comparisons of diagnostic studies, and alerting providers to needed preventive care services, (Amatayakul 2009).

According to the syllabus for CSC-104, we shall learn to navigate and properly use the internet, utilize data bases and search engines, effectively use Canvas, and access cloud storage. Among learning about these systems, we will learn proper ways to safely communicate amongst ourselves and within a professional setting. While stressing importance on netiquette, we will also be placing emphasis on how to compress and expand; retrieve and store; analyze and evaluate different kinds of information. The competency achieved in this class will not only help during our time at Galen College, but as we transition into a job in the medical field. The ability to appropriately communicate with our peers will help us avoid confusion and unnecessary issues within our careers with future patients, family, and doctors.

The use and advancement of technology has expanded throughout the years. Technology has recently begun to be incorporated into the healthcare setting to enhance patient care, patient safety, and to optimize therapeutic outcomes. This concept is otherwise known as medical informatics, and is composed of six core areas: electronic health records (EHR), computerized provider order entry (CPOE), electronic prescribing, pharmacy automation and dispensing systems, privacy and security of informatics, and telehealth. Computerized provider order entry specifically refers to a licensed healthcare professional inputting medication orders and other medical information into an electronic pharmaceutical program.1 However, implementing CPOE has revealed

There are several challenges involved in successfully implementing the meaningful use of EHRs. Among the most significant barriers are the high expense involved in upgrading current EHRs to meaningful use compliant EHRs, the computer literacy of medical staff, interoperability and the effective exchange of data for coordinating care between different facilities, and patient privacy and security of their medical information. An additional significant hurdle is the computerized physician order entry (CPOE) criteria. A study conducted by the Journal of the American Medicals Informatics Association found that half of the hospitals that failed to achieve meaningful use cited the primary reason as failing to effectively implement

More than ever before, the health care work environment requires comfortable services and high technology information system. The health care manager should aware of and understand the impact of health information technology to ensure that workers are productive, sensitive data is protected, and patients remains safe. To manage effectively and efficiently, the health care manager must have the competencies and skills to evaluate the experience and adoption of new technologies to health care workers in the organization.

Organizational transition can be viewed on a broad scale. This type of transition occurs around us in a social, political or economical setting. This can include changes in procedures and practices (Schumacher & Meleis, 1994, p.121). A true leader can adapt to change and convince others to do so as well. In a medical setting, change is always occurring. There is constant research and discoveries being made to help improve the quality of life. An organization must be aware of new findings and implement the necessary policies that will put the patient’s best interests first. Again, we can compare organizational transition to the program outcomes. A nurse must be able to use informatics and interdisciplinary collaboration. A nurse must be able to use the necessary resources to advance his or her knowledge and communicate well with others to improve oneself. These are the qualities of an effective leader. The purpose of obtaining these qualities is to reach a common goal; provide the best care for the patient.

As a recent graduate in nursing informatics, I am able to better vision and understand the resources needed for the VA. I am looking forward to utilize the resource information taught in school, research articles read to integrate data, information and communication via technology to promote the health of our veterans and their families. Since graduated, my contributions started by working with the Group Practice Manager to discuss the workflow process in my area to develop a plan, which includes a new template to make my workflow more conducive for the providers, patients, staff, and myself. Since then, some changes have been made on how patients are charted and processed in in the renal department. By making these changes the new templates have created

Computerized physician order entry (CPOE) systems allow physicians to directly enter medical orders into the system (e.g. ordering medications, laboratory testing, diagnostic imaging and any other treatment plans available within the system). This is to eliminate the potential medical errors caused by the physician poor handwriting. Health Information Exchange (HIE) allow physicians, patients and other healthcare professional to appropriately access and securely sharing patient’s medical information electronically. Electronic health record (EHR) systems provide many new ways to use patient information to ensure that patients are receiving the best treatment by adhering to medical “best practices”.

Computerized Vendor Order Entry (CPOE) allows physicians to electronically order the hospital's in-patient medications and treatments and was developed, in part, to avoid errors in prescribing medications (such as drug allergies or drug-drug interactions ). CPOE systems can be programmed to issue a computerized "warning message" alerting physicians to potential problems and conflicts. BIDMC started using a CPOE system about 10 years

Change can be difficult to accept in healthcare. Over the last 20 years there have been major changes in the industry; for example, electronic medical records and bar code medication administration. Sone staff may be resistance to change and may make the decision to not participate in the tasks that are change. There are ways to lessen that resistance. For example, ensuring that there is clear communication with all parties involved. When people are included in that planning from the first step they have a sense of ownership of the change (Chamberlain College of Nursing, 2015). Additionally, educating people about the what, why, and how of the change can lessen resistance. When people are fully educated and prepared for implementation they

HIM technology and future of EHR, has greatly improved since the organization was first created in 1928 and chapter 11 tells us all about it. The first thing that is computers make up a humongous part of HIM technology. They are always changing becoming more powerful, cheaper, and also more advanced every year and also the programs that are routinely being offered, updated, and created are changing the accuracy, speed, and completion of the records. “CPOE, also called computerized provider order entry system, is one of those programs that has changed HIM for the better and it is used by providers to enter orders for medications, lab tests, and other procedures, and the destination systems, such as pharmacy for medications, LIS for lab tests,

Seeing how the healthcare industry is always undergoing some sort of change due to new discoveries or procedural changes, it is important to be able to smoothly implement change

Though not all parts of the standard process may apply, as Cheri noted a standard process should still act as a checklist with steps that should be evaluated or considered as a healthcare system looks at a new system. However, as Eileen pointed out, not every healthcare setting has the expertise and resources to complete every step, though they may be the groups who can benefit from this process the most. As the Altarum Institute states, “Unfortunately, the limited information available on health IT adoption in small, rural hospitals provides only modest guidance on how to manage the unique financial, structural and human resources that affect the successful implementation of health IT” (p.1)

The Institute of Medicine estimates that preventable medical errors cost the United States nearly $17 billion annually (as cited in McGonigle & Mastrian, 2015). A recommended approach to decreasing these costs is to eliminate handwritten medication and treatment orders and instead use computerized physician order entry (CPOE). CPOE is an electronic prescribing system used for medication and treatment orders written by physicians which eliminates unclear or incomplete orders (McGonigle & Mastrian, 2015). The orders are electronically sent directly to the recipient, reducing errors related to poor handwriting or transcription of medication orders. Furthermore, when the CPOE system is part of electronic health records (EHRs) in conjunction with a clinical decision support system (CDSS) to assist with clinical decision-making tasks, medication orders are checked against all other patient medications to decrease drug interactions or wrong doses (McGonigle & Mastrian, 2015). By utilizing CPOE systems, healthcare providers and patients benefit from safer health outcomes.

Organizations follow guides from different models of change to make change implementation powerful and successful. Health care settings will benefit using Kotter’s eight-step of change to make change happen. Change is constant, and organizations has to find strategies to reduce or eliminate resistance and challenges for those who are involve. The eight-steps includes Establish Urgency, Create Coalition, Develop Vision, Communicate Vision, Empower Action, Generate Short-Term Wins, Consolidate Gains/Produce More, and Anchor Approaches.