Electronic Medical Record

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Approximately seventy five percent of Ontarians have an electronic medical record and roughly 10,000 Ontario physicians are using them to improve patient care, enhance health outcomes and increase patient safety.
The Electronic Patient Record (EPR) is UHN’s standard Clinical Desktop application developed by Shared Information Management Services (SIMS) which provides healthcare professionals with quick and easy access to integrated patient records available in real time. It includes access to more than one patient record at a time as well as access to other applications. The ultimate goal of the UHN’s EPR that currently links more than 12 clinical applications (including CPOE, ORSOS, GRASP, EDS, MOE) is to compile all patients’ related information so that they can be managed, viewed and utilized at one place. One component of The Electronic Patient Record (EPR), namely Computerized Physicians Order Entry (CPOE), has the potential, when fully adopted, to improve the quality, safety, and efficiency of patient care.
This paper will identify one relevant component of patient safety, namely optimizing human and environmental factors, in relationship to CPOE, analyze the benefits of this clinical application’s implementation in a health care facility, identify and evaluate possible gaps.
What is CPOE ?
CPOE is a technology that allows physicians to enter orders into a computer instead of handwriting them. By computerizing this manual order process, structure of the record and control are introduced. In the case of medication ordering, an electronic system forces the indication of a precise dose, route, and frequency. The system can also eliminate the problem of illegible handwriting, incomplete or lost information, and makes every pr...

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