Appendix
Computerized provider order entry or CPOE is a computer application that allows providers to enter medical orders. The CPOE has many benefits one of them being increased safety ensuring that orders are legible and incorporates clinical decision support during the order-entry process. Having a successful CPOE committee will contribute to the achievement of the CPOE project and in the end increase patient safety.
Medication safety is an important area for concern with in health care. Computerized provider order entry or CPOE is a computer application that allows providers to enter medical orders and reduce the occurrence of errors. The CPOE has many benefits one of them being increased safety ensuring that orders are legible and incorporates clinical decision support
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The Clinical Steering Committee should organize, lead and resolve problems that are related to the planning and implementation of the CPOE. The Clinical Steering Committee will provide a neutral ground for making key decisions. The Clinical Steering Committee is made up of key individuals representing the medical departments and the hospital boards for example physicians, nurses, Chief Medical Information offices and/or Chief Nursing Officers.
Recommend the frequency you would recommend that the CPOE committee report to the Information System Steering Committee.
Determining how often the Steering Committee should meet depends on the size and scale of the project and also what phase the project is in. For a small project it would be acceptable to meet once at the planning stage, then again mid-way through the project to monitor progress and again at the end to assess the outcome of the project to contribute to the evaluation. With larger projects like CPOE, the Steering Committee should plan their meeting to coincide with the milestones achieved in the project.
Identify the responsibilities that CPOE committee should
The pros of the CPOE system included that the prescribing of wrong medications was reduced, there were fewer errors with the patient’s basic information, orders for lab work, blood work, and medications were standardized; and mistakes in the ordering...
Overview: E-prescribing systems enable the electronic transmissions of prescriptions to pharmacies from the provider's office. The promise of e-prescribing in regard to patient safety is reduction in the time gap between point of care and point of service, reduction in medication errors, and improved quality of care. This paper will give a brief overview concentrating on the reduction in medication errors and the challenges that remain with electronic prescriptions. Electronic prescribing or known as e-prescribing is the transmission, using electronic media, of prescriptions or prescription-related information from a prescriber (physician, nurse practitioner, etc.) to a pharmacy (Fincham, 2009). The information may flow to a number of parties
The role of the Chief Nursing Officer is a complex position. Educational preparation for the CNO role range from a Master’s in Nursing to a degree outside of the profession such as an MBA or a degree in a related area of study (Kerfoot, 2012, p. 38-39). As L. Horton’s role of the CNO for Select Specialty Hospital, the duties required by h...
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
As a successful engagement in meetings depend on the access to information about the meeting, I would start from here. Firstly, as I sought for information regarding a public hearing in the website, I could not find their detail agenda. The City of Holladay was the only Planning Commission website that gave detail hearing agenda with particular time and contents of the discussion topics. Murray City Planning Commission mentioned
Implementing technology in a clinical setting is not easy and cannot be successful without a well-organized system. It is important that healthcare providers understand the electronic medication administration record (eMAR) and its role in improving patient safety. One of the most significant aspects of healthcare is the safety of our patients. Medication errors account for 44,000-98,000 deaths per year, more deaths than those caused by highway accidents or breast cancer. Several health information technologies help to reduce the number of medication errors that occur. Once of these technologies is bar-code-assisted medication administration (BCMA). These systems are designed to ensure that the right drug is being administered via the right
They can create positive outcomes in regard to the nation’s most pressing healthcare concerns. While CNLs are actively involved in daily operations they do not work directly with patients. Their prevue is often limited to leadership among the nurse pool, with their charge ending where hospital administration begins. The Clinical Nurse Leaders master’s degree knowledge base helps to ensure that they can lead their units. Clinical Nurse Leaders specialize in overseeing patient groups rather than individual patients. It is the CNL’s job to make medical decisions based purely on research and
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
I am truly amazed by the positive impact of bar-code medication administration (BCMA). Since we have a fully integrated electronic health record, it is a true closed loop-system, with medication order entry, pharmacy validation of medications, and clinical decision support. Implementing technology such as BCMA is an efficient way to improve positive identification of both the patient and medication prior to administration. It is estimated that the bar-code medication charting can reduce medication errors by 58% (Jones & Treiber, 2010). Even though we have good adoption of BCMA, nurses still make drug administration errors. In many of the cases, errors are caused by nurses, because they do not validate and verify. The integration of technology
While my research on these safeguards has shown me that they have been successful in reducing some errors, new errors in the medicating process have developed. For example, in a computerized provider-order entry system, medical facilities have experienced a reduction in confusion
Administration of medication is a vital part of the clinical nursing practice however in turn has great potential in producing medication errors (Athanasakis 2012). It has been reported that over 7,000 deaths have occur per year related to medications errors within the US (Flynn, Liang, Dickson, Xie, & Suh, 2012). A patient in the hospital may be exposed to at least one error a day that could have been prevented (Flynn, Liang, Dickson, Xie, & Suh, 2012). Working in a professional nursing practice setting, the primary goal is the nurse and staff places the patient first and provides the upmost quality care with significance on safety. There are several different types of technology that can be used to improve the medication process and will aid staff in reaching a higher level of care involving patient safety. One tool that can and should be utilized in preventing medication errors is barcode technology. The purpose of this paper is to demonstrate how implementing technology can aid patient safety during the medication administration process.
One of many nationwide initiatives to help reduce the occurrence of unnecessary medical errors and adverse events is the use of the integrated Clinical Decision Support System (CDSS). A CDSS is a system that provides the right information to the right person in a right format through a right channel at the right time of workflow to facilitate better decision-making by clinicians, reduce errors, and also to prevent adverse events (AHRQ, 2008). This proposal is a case based CDSS system that provides point of care clinical decision support, ensures five rights of medication administration (right person, right drug, right dose, right time and right route), and is designed to prevent or reduce the occurrence errors and adverse events at Perpetual Order of Saints Hospital (POSH).
We only discuss those individuals having issues or positive milestones. Also, we also have to sign the minutes from the previous meeting. Once the agenda gets back to the Clinical Director, then we are able to start the meeting. The order of the meeting goes as follows: 1) Med changes, 2) Hospitalizations, 3) Room Screenings (if any) and 4) The individuals. Sometimes at the end of the meeting, someone from the clinical team may need to present a new idea for the individuals we
Collaborative decision through shared governance is very crucial for achieving the quality of patient care, improving the collaboration and good working environment, optimize job satisfaction and improving retention among health care team(Anthony, 2004). It promotes the problem solving and accountability by working together to make a decision that is directed toward patient’s health status and nursing practice. In addition, shared decision-making process improves the communication, diversity and creativity in health care field. This paper will discuss about the functions of collaborative decision making committee, role of attendees and the observations of interactions among the members of committee.