BOX 5-2Use of Simulation Tool to Evaluate Computerized Physician Order Entry: Case Study 2

The Setting

  • A 750-bed academic medical center where computerized provider order entry (CPOE) is in use house-wide
  • Very proud of work and accomplishments in safety and quality

Lessons Learned

  • Only order category covered was drug–allergy checking
  • Some categories (patient-specific dose checking based on renal status, weight) being done in pharmacy application, but not delivered to physicians

Actions Taken

  • Evaluated order categories in simulation tool against local experience (pharmacist interventions) to assign priorities for advancing clinical decision support (CDS) in CPOE
  • Launched aggressive effort to advance CDS

From: 5, Fostering Systems Change to Drive Continuous Learning in Health Care

Cover of Engineering a Learning Healthcare System
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Institute of Medicine (US) and National Academy of Engineering (US) Roundtable on Value & Science-Driven Health Care.
Washington (DC): National Academies Press (US); 2011.
Copyright © 2011, National Academy of Sciences.

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