During the 1980s and 1990s there were many studies that showed that medical errors occurred at a very high rate in inpatient and outpatient settings. Computer Provider Order Entry (CPOE) systems were designed to reduce or eliminate errors made using handwritten orders. The CPOE system allows users to directly enter their orders into the system on computers which will then be sent directly to healthcare providers who will implement the orders. Previously orders were placed by writing on order sheets on patient charts. Sometimes this was done by the doctor or by a nurse acting on the doctor's behalf. The order sheets were then signed by the doctor and the information was then entered into the patient's medical record. This left room for errors due to poor reading of handwriting, confusion of drugs with similar names, etc. Emory Healthcare is part of the Emory University School of Medicine in Georgia. The Emory Health System is made up of numerous hospitals and inpatient clinics in the state of Georgia. In response to studies conducted in 2009, Emory implemented the CPOE system in its inpatient units to try to reduce the number of errors occurring within its system. The COPE project at Emory Healthcare was thoroughly researched to understand the basic requirements Emory needed before developing the system. Although many things went according to plan with the introduction of the CPOE system, Emory encountered several problems implementing the system. Benefits of the CPOE system included reduced prescribing of incorrect medications and fewer medications errors related to basic patient information, orders for laboratory tests, blood tests, and medications were standardized; and errors in sorting... half of the paper... ion in general. They should also set reasonable and easily achievable goals for new users so they can feel confident in their abilities to learn the new system. They should also have more support staff available to assist patients in the transition from surgery to post-anesthesia care. They should also offer additional training to community doctors using EMHUs, although some of these doctors are familiar with a CPOE type system, more training would help avoid further problems with new users to the system. Users who are already competent with the CPOE system (nurses, pharmacists, doctors) should be more explicit about the benefits of the system and how, thanks to it, they now have more time to manage the well-being of their patients. They also need to talk openly about what isn't working in the system so that improvements can continue to be made.
tags