Tools & Links

CDS in Community Hospitals - Fieldwork Manual

Consensus Recommendations for Basic Monitoring and Evaluation

Implementing CPOE? Worried about whether you are making progress, or experiencing unintended adverse consequences that you don't know about? Then read POET's "Consensus Recommendations for Basic Monitoring and Evaluation." POET has drafted sample measures for four main categories of metrics: availability and use, utilization and efficiency, quality, and hazard, or unintended consequence indicators. By regularly monitoring key measures, this tool will help you optimize your CPOE implementation. Remember, you get what you measure!

POET Treemaps

Learn how POET's "Considerations for Successful CPOE Implementation" may help you avoid unintended adverse consequences (UACs). POET has analyzed a wide range of unintended consequences and categorized them according to the considerations that might help avoid each one. This tool will help you plan for CPOE implementation by giving you questions to consider, and by explaining what might go wrong if you fail to consider them fully. The treemaps help visualize which considerations are most important. For instance, those considerations that address the most UACs will be represented by larger boxes and darker colors. Click here to learn more.

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CPOE Bibliography

Electronic database searches were conducted in September 2005 for dates 1993 through 2005 including Ovid MEDLINE, CINAHL, BIOSIS, and all EBM reviews (which includes the Cochrane Database of Systematic Reviews, the American College of Physicians [ACP] Journal Club, the Database of Abstracts of Reviews, and Effects and the Cochrane Central Registry of Controlled Trials). This search was not limited to peer-reviewed journals and did not reject letters or editorials, a priori, since many such responses contain insight. Bibliographies of documents in the search sets were reviewed for possible additions. In addition, Web-of-Science (Thomson) was searched for references to some included articles.

See the CPOE bibliography.

CDS Bibliography

Electronic database searches were conducted in September 2005 for dates 1993 through 2005 including Ovid MEDLINE, CINAHL, BIOSIS, and all EBM reviews (which includes the Cochrane Database of Systematic Reviews, the American College of Physicians [ACP] Journal Club, the Database of Abstracts of Reviews, and Effects and the Cochrane Central Registry of Controlled Trials). This search was not limited to peer-reviewed journals and did not reject letters or editorials, a priori, since many such responses contain insight.Bibliographies of documents in the search sets were reviewed for possible additions. In addition, Web-of-Science (Thomson) was searched for references to some included articles.

See the CDS bibliography

CPOE Survey

Click on image to enlarge

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Useful CPOE Links

Agency for Healthcare Research and Quality

The report "Making Health Care Safer" contains multiple chapters, including Chapter 6: Computerized Physician Order Entry (CPOE) with Clinical Decision Support Systems (CDSSs)

Visit the agency website

The Leapfrog Group

Comprised of more than 100 public and private organizations that provide health care benefits, The Leapfrog Group works with medical experts throughout the United States to identify problems and propose solutions that it believes will improve hospital systems that could break down and harm patients. Their reports on CPOE are available on their website.

See the CPOE reports from the Leapfrog Group

CSC

This consulting firm works in the healthcare industry, and has written a number of reports on CPOE, such as Computerized Physician Order Entry: Costs, Benefits and Challenges - A Case Study Approach

California Healthcare Foundation

CHF is sponsoring The Quality Initiative, which includes a CPOE fact sheet

Visit the California Healthcare Foundation site

The American Hospital Association

AHA released a 50 page report on CPOE as part of their Quality and Patient Safety Key Initiative. See an executive summary

The complete report may be ordered from the AHA.

Visit the American Hospital Association site

The Informatics Review

This is an on-line serial devoted to helping clinicians and information systems professionals keep up with the latest developments in the rapidly changing field of Clinical Informatics.

Visit the Informatics Review wiki