Evidence-Based Computerized Physician Order (CPOE)

¶ … evidence-Based Computerized Physician Order (CPOE) system Lesson Plan

The purpose of this lesson plan module is to provide an orientation to nurses to the use of Computerized Physician Order (CPOE) system. The lesson plan is evidence-based.

Lesson objectives

To teach the participants how what CPOE system is

To teach the participants how to operate a CPOE system

To teach the participants the different types of CPOE systems

To teach the participants the benefits of CPOE systems

To teach the participants the potential risks of CPOE

To teach the participants how CPOE is implemented.

At the end of the lesson, the nurses should be able to:

Sate all the terminologies that are related to various order entries

Know what CPOE is

Know how CPOE operates

Know the types of CPOE

Know the benefits and risks of CPOE

Know how to implement CPOE

Class Time: 90 minutes

Prep Time: 30 minutes

Materials and suppliers

Computer and Projector

Hand outs

Power point presentations

Background information as well as resources:

Al-Dorzi, HM., Cherfan, a et al. (2011).Impact of computerized physician order entry (CPOE) system on the outcome of critically ill adult patients: a before-after study. BMC Medical Informatics and Decision Making 2011, 11:71 doi:10.1186/1472-6947-11-71

Collins S, Currie L, Bakken S, Cimino JJ: Interruptions during the use of a CPOE system for MICU rounds.

AMIA Annu Symp Proc 2006, 895.

Eslami S, de Keizer NF, Abu-Hanna a: The impact of computerized physician medication order entry in hospitalized patients -- a systematic review.

Int J. Med Inform 2008, 77:365-376

Dunn, W. (2008). Bringing evidence into everyday practice: Practical strategies for healthcare professionals. Thorofare, NJ: SLACK Incorporated

Karsh BT, Weinger MB, Abbott PA, Wears RL: Health information technology: fallacies and sober realities.J Am Med Inform Assoc 2010, 17:617-623.

Keillor, a ., Morgenstein (2005).Computerized Physician Order Entry Systems and Medication Errors. JAMA. 2005;294(2):178.doi:10.1001/jama.294.2.178-a

Hagedus, SM (2005).Computerized Physician Order Entry Systems and Medication Errors.

JAMA. 2005;294(2):179.doi:10.1001/jama.294.2.179-b

Upperman JS, Staley P, Friend K, Neches W, Kazimer D, Benes J, Wiener ES: The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital.

J Pediatr Surg 2005, 40:57-59.

Design a pre and post-test to measure the nurses' knowledge CPOE system use before and after the orientation

Pre-test to measure of nurses' knowledge CPOE system use before the orientation

1. What does CPOE stand for in full?

2. What are the functions of a CPOE system?

3. What are the major components of a CPOE system?

4. What are the potential benefits of a CPOE system?

5. What medical errors are reduced by a CPOE system. Name five types of these errors

6. Are there risks in the use CPOE systems?

7. Does the CPOE technology need to be able to transmit a given order for it to be deemed "certified"?

8. Who is responsible for the maintenance of the CPOE

9. Does the CPOE lead to lower mortality rates in hospitals. If yes, justify your answer

10. In which departments of a hospital can the CPOE system be implemented?

Post-test to measure of nurses' knowledge CPOE system use after the orientation

1. List current core clinical vendor, product, as well as version or. That your are aware of as well as the application types (a/D/T, Radiology, Laboratory, Pharmacy, Nursing Documentation, Order Communication).

2. Is there a need for IS Department to anticipate the need for a third-party consulting

Assistance beyond what the is provided by the vendors for handling of any aspect of the CPOE design, implementation, as well as training

3. How can the CPOE be implemented at the laboratory? >What are its advantages in this setting?

4. How can the CPOE be implemented at the ICU? >What are its advantages in this setting?

5. How can the CPOE be implemented at the patient registry? >What are its advantages in this setting?

6. How can the CPOE be implemented at the outpatient pharmacy? >What are its advantages in this setting?

7. What certification standards are needed to operate a CPOE?

8. Can a single CPOE application be used to manage a hospital with different branches in different physical/geographical that are encountered during the implementation of a CPOE