ComputerizedPhysicianOrderEntrySystem.pptVIP

Legal Issues Physicians coercing nurses to enter orders for them Physicians leaving the floor to call in telephone orders Patient privacy and security Physician overrides/Medical malpractice Poor implementation Improper Use Deficient ergonomics Exceptions to CPOE Phone orders if no computer access Emergency orders Protocol orders Verbal orders given during procedures Orders during computer system downtime Advantages of CPOE Provides drug screening information Helps prevent adverse drug effects Improves quality of patient care Reduces drug expenses Provides predefined orders Speeds up medication ordering Easy accessibility to patient’s medical orders Eliminates handwriting/transcription errors Increases productivity and workflow Provides decision support Disadvantages of CPOE Too much information/over-alerting Physician non-acceptance Integration/staff training Installation costs Intrusion of physician decision-making Nursing Competencies Nurses utilizing CPOE will need to: Use the database applications to enter and retrieve patient data/orders Demonstrate basic technology skills (typing printing) Use applications for structured data entry Use the application to plan care for patients Use networks to navigate systems Operate peripheral devices (PDAs) Nursing Functions/Responsibilities Enter admission/discharge orders Place medication and non-medication orders Place ordersets Update allergy information Resolve orders conflicts Discontinue orders To Review…….. CPOE: Offers quick access to patient medication orders Offers clinical decision support Provides drug screening information Helps prevent adverse drug effects Improves quality of patient care Allows real-time access to patient records Improves accuracy and completeness of physician orders References McGonigle, D. Mastrian, K. ( 2009). Nursing informatics and the foundation of knowledge. Boston: Jones Bartlett Publishers. McKesson. (2007). HealthQuest, Retrieved December 14, 2008 from /en_us/McK/For+