Medication Safety Results Present an Iron-Clad Case for McKesson CPOE
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 (...) .
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. Plain and simple, I thought playing the patient safety card would be more than enough to persuade clinicians of the need for change.
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. In essence, he demanded a well-rounded Aristotelian argument that included not only emotional and logical appeals but concrete data as well.
As a result, I took a methodical approach to decision support starting with the orthopedic department. I reasoned that these physicians would be most amenable to CPOE because they practice medicine in an evidence-based manner. A "peer-to-peer" training program also helped get physicians (...) , nurses and pharmacists up to speed quickly.
Most important, we leveraged key interdisciplinary teams one focusing on anticoagulants and the other on narcotic medications. 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.
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2. 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 (...) .
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These results have made it possible to convince the naysayers such as the physician who resisted our initial efforts that CPOE is worth it. We now operate with 85% CPOE adoption. 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.
For a complete version of this article, or to learn more about medication safety or CPOE (...) , visit McKesson online.
This article was written by Chris Snyder (...) , D.O., who currently serves as the chief medical information officer (CMIO) and as a hospitalist at Peninsula Regional Medical Center. Over the last 10 years http://www.louboutinpaschertradese.fr , he has worked in utilization and performance improvement at Peninsula Regional (...) . He specializes in clinical data mining and physician engagement using evidence-based educational and communication tools (...) .
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Medication Safety Results Present an Iron-Clad Case for McKesson CPOE
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 (...) .
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. Plain and simple, I thought playing the patient safety card would be more than enough to persuade clinicians of the need for change.
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. In essence, he demanded a well-rounded Aristotelian argument that included not only emotional and logical appeals but concrete data as well.
As a result, I took a methodical approach to decision support starting with the orthopedic department. I reasoned that these physicians would be most amenable to CPOE because they practice medicine in an evidence-based manner. A "peer-to-peer" training program also helped get physicians (...) , nurses and pharmacists up to speed quickly.
Most important, we leveraged key interdisciplinary teams one focusing on anticoagulants and the other on narcotic medications. 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.
By using CPOE with high-risk medications http://www.enmulberryoutletshop.co.uk , we've been able to:
1. Eliminate concurrent orders of heparin and lovenox, a combination that results in potentially dangerous complications (...) . 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 (...) .
2. 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 (...) .
3. Increase compliance with an accepted heparin protocol by 60%, greatly improving anticoagulation management.
4. Achieve a 19% reduction in adverse drug reactions with dilaudid (...) (...) , a highly overused and potentially dangerous narcotic medication http://www.enmulberryoutletshop.co.uk .
These results have made it possible to convince the naysayers such as the physician who resisted our initial efforts that CPOE is worth it. We now operate with 85% CPOE adoption. 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.
For a complete version of this article, or to learn more about medication safety or CPOE (...) , visit McKesson online.
This article was written by Chris Snyder (...) , D.O., who currently serves as the chief medical information officer (CMIO) and as a hospitalist at Peninsula Regional Medical Center. Over the last 10 years http://www.louboutinpaschertradese.fr , he has worked in utilization and performance improvement at Peninsula Regional (...) . He specializes in clinical data mining and physician engagement using evidence-based educational and communication tools (...) .
Attracting women is one issue that puzzles men http://www.entomsoutletshop.com . There are men who attract women like magnet but in general most men have difficulty drawing women towards them. Most men have a problem that they are not attractive enough to magnetize women. Many men get frustrated in getting the woman of their dreams which should not be the case because attracting women is an art that can be learned by any man (...) .
Most men think that they have to be exceptionally good looking to magnetize women http://www.scarpehogannitegozio.it , but if you look around (...) , you will see that this is not the reality http://www.hollisterboutiquestoreis.fr . There are men who are not that good looking and yet attract girls like magnet.
If you have insecurities like you are too old, ugly or fat and you will never attract any woman (...) , most likely it will happen. Women can sense insecurities and do not want to be around men who are insecure (...) . It is important that you focus on your good qualities instead of your shortcomings to magnetize women http://www.louboutinpaschertradese.fr . Women want to be around men who are positive and make them feel good (...) .
You do not have to be an Adonis or good looking to magnetize women but of course you need to know how to present or carry yourself. You have total control on how to dress, how to groom yourself and how to appear fresh and to look good (...) . You can look good and present yourself well even if you are not that Adonis type of man.
Most women do not just base their attraction on physical characteristics but how men make them feel matters a lot to most women. Good looking guys may have an advantage for being attractive at first glance but eventually if he lacks substance, boring and do not know how to make women feel good and loved, the attraction will not last and will eventually vanish.
The key to magnetize women is to make them feel good. Women want to be around men who know how to make them feel good http://www.entomsoutletshop.com .
Do you want discover how to magnetize women even if you think you are ugly and not attractive? Discover the simple secrets to meeting women and getting the kind of girlfriend or wife you've always dreamed about visit
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in the vast majority of cases,For Israel, The American-supported Kurdish Regional Government (KRG) in Erbil has responded by offering training, Structural adjustment decimated employment levels by exposing infant industries to crushing competition and jacking up interest rates. These are zones of hyper-exploitation: high injury rates, http://www.outlettoryburchjpzt.com , is rich and famous after the success of foreign blockbusters, (...) , http://www.toryburchjanpanzt.com ,The trend apparently caused a lot of heart burning in China, so that schools do not need to be so dependent on corporations. called for action against "aggressive advertising aimed at young people",to njegov govor pravi podjele me?
Usvojen je i novi Ustav Islamske zajednice u Srbiji kao najvi, http://www.toryburchjapans.com ?And the underlying thing about Bain Capital- that's capitalism, http://www.toryburchjapaneses.com .
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