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Standard vocabularies in CPOE - Research Paper Example

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Standard vocabularies in CPOE

(www.openclinical.org, 2006). ESSENTIALS OF CPOE At a minimum, CPOE should have the following, as enumerated in www.openclinical.org (2006): 1. Healthcare providers being able to input information through linked computer devices The source of information (healthcare professionals) and a means to gather the data (linked computer devices) is first and foremost in the implementation of CPOE. Linking computers can be done through Local Area Networking (LAN), although such is limited in scope, such that it can only be used around a hospital, or through the internet, which is easier to get hold of an d is wide enough to allow access from doctors, medical technologists, radiologists, and pharmacists around the country and even all over the world. After linking HCPs through LAN or internet, a database must be available, in which all data inputted can be stored. 2. Functionality The CPOE should allow physicians to pose order for laboratory tests such as complete blood count and blood chemistry, radiologic imaging like X-ray, CT Scans, and MRI, medications to pharmacies, or initial management procedures to nurses. In return, these healthcare providers should be able to get these orders as soon as possible, and to pose the results to CPOE once they are already available. 3. Rationale of the order Although CPOE orders are supposed to have been given by licensed physicians, it is still necessary for them to give their reasons for giving the orders. It is a means to countercheck the management of the patient. For example, if a pharmacist knows a more suitable drug for the patient, then he or she can suggest it before providing the medication. If a radiologist thinks that other imaging techniques can provide more information than the one ordered by the physician, then it can be done as well. 4. Making CPOE available to clinical information system It is a way to track down the steps for future reference, especially in cases wherein the patient is not recovering despite the intervention. It is also a valuable reference for medical journals. However, as mentioned, current CPOE already have additional functions such as being able to predict the prognosis of a patient by comparing its case with similar previous cases recorded in the database. In effect, it can also suggest a management plan suitable to the patient based on the history of previous cases. Depending on the configuration of CPOE, some CPOE are already capable of giving job orders on its own in carrying out of its management plan. COMPLICATIONS OF CPOE Despite having just four needs, CPOE is a major undertaking for clinics, hospitals, and healthcare systems. How will they build such a wide-scoped database? CPOE should be able to gather information from the doctors’ inputs, every time patients seek consult (Brigham and Women’s Hospital, 2011). In effect, all physicians in the hospital or healthcare system to which CPOE is applied to should be compelled and trained to use CPOE (Porter, 2007). Aside from the doctors, information should also include laboratory findings from the medical technologists that analyze samples from the patients, imaging results from the radiologists, and list of medications by pharmacists. In effect, each case should be followed up to the outcome of the management, whether the case was resolved or ended in mortality (Brigham and Wome ...Show more
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Summary

RATIONALE OF CPOE Initially, computer-based physician order entry, or CPOE, is an electronic-based system meant to integrate clinics, hospitals and laboratories by acting as an avenue to relay job orders among one health institution to another. Again, it is meant to provide care with the least amount time possible (www.openclinical.org, 2006)…
Standard vocabularies in CPOE
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