Title | Claps | Level | Year | L/Y |
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Computerized Physician Order Entry System Unexpected Increased Mortality After Implementation of a Commercially Sold
Trung C. Nguyen, H. Bayır, R. Orr, Y. Han, J. Carcillo, S. Venkataraman
ABSTRACT. Objective. In response to the landmark1999 report by the Institute of Medicine and safety initi-atives promoted by the Leapfrog Group, our institutionimplemented a commercially sold computerized physi-cian order entry (CPOE) system in an e…
ABSTRACT. Objective. In response to the landmark1999 report by the Institute of Medicine and safety initi-atives promoted by the Leapfrog Group, our institutionimplemented a commercially sold computerized physi-cian order entry (CPOE) system in an effort to reducemedical errors and mortality. We sought to test the hy-pothesis that CPOE implementation results in reducedmortality among children who are transported for spe-cialized care. Methods. Demographic, clinical, and mortality datawere collected of all children who were admitted viainterfacility transport to our regional, academic, tertiary-care level children’s hospital during an 18-month period.A commercially sold CPOE program that operated withinthe framework of a general, medical-surgical clinical ap-plication platform was rapidly implemented hospital-wide over 6 days during this period. Retrospective anal-yses of pre-CPOE and post-CPOE implementation timeperiods (13 months before and 5 months after CPOEimplementation) were subsequently performed.
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13
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9 | 2012 |
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