Mount Auburn Hospital : Physician Order Entry

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Submitted By kushalkothari
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Mount Auburn Hospital: Physician Order Entry
Physician Order Entry (POE) * An additional module to the PCI by MEDITECH * Intended to reduce preventable ADEs (Adverse Drug Effects) * Pilot implementation to be done in the labor and delivery unit Overview of the Current Process | Overview of the Proposed Process |

Objectives and suggested recommendations
Training of staff
Any implementation of an extensive system such a POE needs to ensure all stakeholders are onboard the new process. This requires them to accept the changes as well as being sufficiently trained to take advantages of POE.
To address the first issue, we suggest involving physicians, nurses, pharmacists etc. early on in the designing the system and discussing their key concerns. Once the entire staff feels part of the team implementing the change, they are more likely to accept it than if asked to adopt a predetermined decision. A system adoption statistic can be released monthly to encourage each ward to compete and speedily implement the new change. For training, staff should be fully trained in a seminar about the key aspects of the system that concern them. A systems manager should always be available for troubleshooting.
Expansion of system adoption
The decision to implement the phase 1 of POE in labour and delivery ward makes sense as the medication and treatments there are much simpler to try out the new system. POE system can be tested here for months and changes suggested can be implemented to improve it. The system can then be implemented in wards of increasing complexity/traffic of patients and variety of treatments. The time of trial at each stage depends on how quickly the system adopts to requirements of the ward as well as the ease of acceptance by majority staff involved in the process. The entire process can be shown below.

Review and implement suggestion…...

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