A "peer-to-peer" training program also helped get physicians, nurses and pharmacists up to speed quickly. In essence, he demanded a well-rounded Aristotelian argument that included not only emotional and logical appeals but concrete data as well. One physician, however, said he would not use the system until I could unequivocally prove to him that CPOE could, in fact, improve medical care at Peninsula Regional..
The two medications were ordered concurrently three times between January and June of 2009, but were prevented when a CPOE order that stops concurrent orders was put into play. Instead of spending time trying to persuade clinicians to adopt CPOE, I am working to keep up with the demand for CPOE-driven decision support. Eliminate concurrent orders of heparin and lovenox, a combination that results in potentially dangerous complications.Most important, we leveraged key interdisciplinary teams one focusing on anticoagulants and the other on narcotic medications. Plain and simple, I thought playing the patient safety card would be more than enough to persuade clinicians of the need for change.
As the chief medical information officer, I told physicians and other caregivers that the CPOE system would help us to minimize errors and provide safer care to our patients.These results have made it possible to convince the naysayers such as the physician who resisted our initial efforts that CPOE is worth it.4.For a complete version of this article, or to learn more about medication safety or CPOE, visit McKesson online.3. We now operate with 85% CPOE adoption.As a result, I took a methodical approach to decision support starting with the orthopedic department. Reduce the number of patients with elevated INR (international normalized ratio) for blood clotting time from greater than 20% to about 10% in a one-year period. Achieve a 19% reduction in adverse drug reactions with dilaudid, a highly overused and potentially dangerous narcotic medication. Focusing our CPOE efforts on use of these medications would help the hospital achieve some significant patient safety wins and reduce some of the dangers associated with high-risk medications.
When we started rolling out a computerized physician order entry (CPOE) system from McKesson at Peninsula Regional Medical Center in 2005, I felt that I had a solid argument for adoption.2.By using CPOE Lamination Glue with high-risk medications, we've been able to:1. I reasoned that these physicians would be most amenable to CPOE because they practice medicine in an evidence-based manner. Increase compliance with an accepted heparin protocol by 60%, greatly improving anticoagulation management. more...

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