Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.

Abstract:

:Although computerized physician order entry (CPOE) has been successfully implemented in many acute care hospitals, few descriptions of its use in the long-term care (LTC) setting are available. This report describes the experiences of one LTC facility in developing and implementing a CPOE system with clinical decision support (CDS). Even when a facility has the necessary resources and "institutional will," many challenges are associated with the implementation of this application. The system was designed to meet the needs of healthcare providers in the LTC setting, in particular by informing prescribing decisions, reducing the frequency of prescribing and monitoring errors, and reducing adverse drug event rates. Based on experience adopting this technology early, 10 insights are offered that it is hoped will assist others who are considering the implementation of CPOE systems with CDS in the LTC setting.

journal_name

J Am Geriatr Soc

authors

Rochon PA,Field TS,Bates DW,Lee M,Gavendo L,Erramuspe-Mainard J,Judge J,Gurwitz JH

doi

10.1111/j.1532-5415.2005.53515.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1780-9

issue

10

eissn

0002-8614

issn

1532-5415

pii

JGS53515

journal_volume

53

pub_type

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