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Computerized Physician Order Entry with Clinical Decision Support in the Long‐Term Care Setting: Insights from the Baycrest Centre for Geriatric Care
Author(s) -
Rochon Paula A.,
Field Terry S.,
Bates David W.,
Lee Monica,
Gavendo Linda,
ErramuspeMainard Janet,
Judge James,
Gurwitz Jerry H.
Publication year - 2005
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2005.53515.x
Subject(s) - computerized physician order entry , medicine , long term care , order entry , clinical decision support system , health care , acute care , medical emergency , decision support system , patient safety , term (time) , order (exchange) , nursing , computer science , quantum mechanics , artificial intelligence , economic growth , physics , finance , economics
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.